Individual
JARED BENNETT STENOIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
8350 S RIVER PKWY, TEMPE, AZ 85284-2615
(480) 310-0514
Mailing address
555 W 10TH ST APT B, MESA, AZ 85201-4021
(480) 310-0514
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T037605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T037605
PTCB
AZ
Enumeration date
04/08/2020
Last updated
04/08/2020
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