Susan Danette Jensen, TT47289

NPI #1114677655 in Caldwell, Idaho

Provider Information

NPI Number
1114677655
Entity Type
Individual
Name
Susan Danette Jensen, TT47289
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy Technician
Credential
TT47289
Enumeration Date
Mar 27, 2022
Last Updated
Mar 27, 2022

Practice Location

Address
4110 S 10TH AVE
State
Idaho
ZIP Code
83605-5706
Phone
(208) 402-0154

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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