Crystal Agesa

NPI #1679842447 in Omaha, Nebraska

Provider Information

NPI Number: 1679842447
Entity Type: Individual
Name: Crystal Agesa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Dec 22, 2011
Last Updated: Dec 22, 2011

Practice Location

Address: 13831 CHALCO VALLEY PKWY
Address 2: SUITE 101
City: Omaha
State: Nebraska
ZIP Code: 68138-6101
Phone: (402) 592-5244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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