Individual
MRS. LEEANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
10670 ORRVILLE ST NW, MASSILLON, OH 44647-9568
(330) 284-4336
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000428
OH
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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