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Individual

JENNIFER TRAM NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
(208) 605-3755
Mailing address
11910 W FAIRVIEW AVE APT A111, BOISE, ID 83713-7831
(714) 725-9330

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11056
ID

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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