Individual
KENADI RYAN SWENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
700 12TH AVE S, NAMPA, ID 83651-4255
(208) 514-5982
(208) 467-1823
Mailing address
2005 HIRD AVE APT 5, CALDWELL, ID 83605-2059
(208) 514-5982
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT51091
ID
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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