Individual
JENNIFER MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 TIMBER SHADOWS DR STE 102, KINGWOOD, TX 77339-2675
(909) 809-0453
Mailing address
2330 TIMBER SHADOWS DR STE 102, KINGWOOD, TX 77339-2675
(909) 809-0453
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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