Individual
HOLLY E. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
707 14TH ST, MODESTO, CA 95354-2506
(209) 525-6014
(209) 525-6034
Mailing address
1812 ROBBIE AVE, MODESTO, CA 95350-1944
(209) 577-4938
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
540948
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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