ADAM C JENSEEN

CHUBBUCK, ID
NPI1073339321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: ID  $$$$$$$$$)
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
-- ADAM C JENSEEN
5310 DIAMOND CIR
CHUBBUCK, ID 83202-2183
Phone number: 858-264-6361
Mailing Address
-- ADAM C JENSEEN
5310 DIAMOND CIR
CHUBBUCK, ID 83202-2183
Phone number: 858-264-6361