Individual
MR. JENSEN PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARDMS, RVT
Contact information
Practice address
11 AIRPORT BLVD, SOUTH SAN FRANCISCO, CA 94080-6530
(650) 995-2444
Mailing address
808 WINDBLOWN LN, REDWOOD CITY, CA 94065-8424
(650) 995-2444
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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