Jenterprises Ps

NPI #1902960347 in Renton, Washington

Provider Information

NPI Number: 1902960347
Entity Type: Organization
Organization Name: Jenterprises Ps
Primary Specialty: Optometrist
Enumeration Date: Dec 20, 2006
Last Updated: Jul 16, 2008

Practice Location

Address: 112 PELLY AVE N
City: Renton
State: Washington
ZIP Code: 98057-5713
Phone: (425) 255-2020

Authorized Official

Name: DR. PAUL SCOTT JENSEN, O.D.
Title: PRESIDENT
Phone: (425) 255-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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