KALEB K JENSON

TACOMA, WA
NPI1437184371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WA  MD00043369)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
-- KALEB K JENSON
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-627-4930
Mailing Address
-- KALEB K JENSON
12918 65TH AVENUE CT SW
LAKEWOOD, WA 98499-1001
Phone number: