Individual
JOHN JENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608
(916) 974-8090
(916) 974-7851
Mailing address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608
(916) 974-8090
(916) 974-7851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PACPA12377
CA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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