Individual
MRS. PEGGY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-9002
Mailing address
318 ANACAPA DR, ROSEVILLE, CA 95678-5971
(916) 705-8558
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
218225
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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