Individual
LIZA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 882-9400
Mailing address
17959 448TH AVE, HAZEL, SD 57242-5209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5904
SD
Other
Enumeration date
09/13/2017
Last updated
03/17/2018
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