Billie-Lee Jesse Fruit, CPHT

NPI #1386229235 in Nampa, Idaho

Provider Information

NPI Number: 1386229235
Entity Type: Individual
Name: Billie-Lee Jesse Fruit, CPHT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Credential: CPHT
Enumeration Date: Mar 12, 2021
Last Updated: Mar 12, 2021

Practice Location

Address: 4300 E FLAMINGO AVE
City: Nampa
State: Idaho
ZIP Code: 83687-3138
Phone: (208) 830-9302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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