Brianna Helene Jensen

NPI #1750822649 in Rockton, Illinois

Provider Information

NPI Number: 1750822649
Entity Type: Individual
Name: Brianna Helene Jensen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 13, 2017
Last Updated: Mar 13, 2017

Practice Location

Address: 11746 DEACON DR
City: Rockton
State: Illinois
ZIP Code: 61072
Phone: (815) 904-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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