Katie Marie Yensen
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1356978043
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1356978043
- Entity type
- Individual (NPI-1)
- Name
- Katie Marie Yensen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1200 N State StTower Clinic, Suite A7d
Los Angeles, CA 90033-1029
Phone 703-635-5814
Mailing address
1200 N State StTower Clinic, Suite A7d
Los Angeles, CA 90033-1029
Phone 703-635-5814
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