Individual
TRYSTA ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 QUINCY ST, RAPID CITY, SD 57701
(605) 391-4863
Mailing address
2109 5TH AVE, RAPID CITY, SD 57702-3366
(605) 877-0259
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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