Jennifer Ann Liane

NPI #1285246330 in Crystal, Minnesota

Provider Information

NPI Number: 1285246330
Entity Type: Individual
Name: Jennifer Ann Liane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 20, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 6800 BASS LAKE RD
City: Crystal
State: Minnesota
ZIP Code: 55428-3935
Phone: (763) 533-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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