Individual
MRS. CHRISTINE ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
270 E 90TH DR STE B, MERRILLVILLE, IN 46410-8102
(219) 736-1758
(219) 736-1717
Mailing address
270 E 90TH DR STE B, MERRILLVILLE, IN 46410-8102
(219) 736-1758
(219) 736-1717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
716125
IN
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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