| NPI | 1265059307 |
|---|---|
| Professional Name | AMANDA ANTOINETTE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA17489) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |