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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN DANETTE JENSEN, TT47289

Active Sole Proprietor

SUSAN DANETTE JENSEN, TT47289 is a Pharmacy Technician healthcare provider located in CALDWELL, Idaho. NPI 1114677655 is currently active in the NPPES registry. Verify at CMS.

Pharmacy Technician · CALDWELL, ID

Registration Details

NPI Number
1114677655
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2022 (4.4006394049342 yrs)
Last Updated
Mar 27, 2022
License
TT47289 (ID)
Sole Proprietor
Yes

Practice Information

Address
4110 S 10TH AVE
CALDWELL, ID, 836055706
Browse ID providers · Browse ZIP 83605
Phone
2084020154
Primary Specialty
Pharmacy Technician
183700000X

Other Pharmacy Technician Providers in CALDWELL, ID

Name Credential NPI
ISAAC MCCONNELL 1508558479
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.