Individual
JENNA BRETT DANSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 S BROADWAY AVE, BOISE, ID 83702-7643
(208) 331-4187
Mailing address
3352 N LAKEHARBOR LN APT N202, BOISE, ID 83703-0123
(406) 552-7161
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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