Individual
KRISTINE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-2144
(906) 341-5793
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704171469
MI
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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