SUSAN DANETTE JENSEN TT47289
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1114677655- Provider Type
- Individual Provider (NPI-1)
- Credentials
- TT47289
- Status
- Active
Contact & Location
- Address
- 4110 S 10TH AVE, CALDWELL, ID, 836055706
- Phone
- (208) 402-0154
Specialties & Taxonomies
Pharmacy Technician
Primary License: ID #TT47289