Individual
STEPHANIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9985 SIERRA AVE, DEPARTMENT OF UROLOGY, FONTANA, CA 92335-6720
(909) 427-7508
Mailing address
9985 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A164065
CA
Other
Enumeration date
04/04/2018
Last updated
07/16/2025
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