Alicia Jensen INC
NPI #1467722801 in Ronceverte, West Virginia
Provider Information
- NPI Number
- 1467722801
- Entity Type
- Organization
- Organization Name
- Alicia Jensen INC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 3, 2012
- Last Updated
- Jan 3, 2012
Practice Location
- Address
- 27 RED OAKS SHOPPING CTR
- City
- Ronceverte
- State
- West Virginia
- ZIP Code
- 24970-1348
- Phone
- (304) 645-1163
Authorized Official
- Name
- MRS. ALICIA JENSEN, MOTR
- Title
- PRESIDENT
- Phone
- (210) 878-5091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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