Individual
JENNA MUSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 154TH CIR, BASEHOR, KS 66007-8229
(913) 660-3708
Mailing address
801 154TH CIR, BASEHOR, KS 66007-8229
(913) 660-3708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107211
KS
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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