Individual
MARY EILEEN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 301-6400
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
RN00175191
WA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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