Individual
BILLIE-LEE JESSE FRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4300 E FLAMINGO AVE, NAMPA, ID 83687-3138
(208) 830-9302
Mailing address
517 ROOSTER LN APT 201, CALDWELL, ID 83605-1225
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
ID
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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