Individual
JENNA LUITJOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 S TIMBERLINE RD APT 7-207, FORT COLLINS, CO 80525-4167
(618) 410-6157
Mailing address
2451 S TIMBERLINE RD APT 7-207, FORT COLLINS, CO 80525-4167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021969
CO
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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