Individual
JENNIFER TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 W 4TH ST, PUEBLO, CO 81004-1207
(719) 404-0069
Mailing address
1520 W 4TH ST, PUEBLO, CO 81004-1207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23398
CO
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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