Individual
JANAE LEANNA PAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S PRAIRIE AVE, PUEBLO, CO 81005-3167
(719) 696-6159
(719) 696-6170
Mailing address
74 REGENCY BLVD APT M, PUEBLO, CO 81005-1837
(719) 778-7641
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHAT.0004514
CO
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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