MS. Jodi Mari Jensen, L.B.T.

NPI #1558740530 in Racine, Wisconsin

Provider Information

NPI Number: 1558740530
Entity Type: Individual
Name: MS. Jodi Mari Jensen, L.B.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.B.T.
Enumeration Date: May 24, 2015
Last Updated: May 24, 2015

Practice Location

Address: 2206 N MAIN ST
City: Racine
State: Wisconsin
ZIP Code: 53402-4448
Phone: (262) 497-9780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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