Individual
JENNIFER JOY DICENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6700 E VIRGINIA ST, EVANSVILLE, IN 47715-4034
(812) 473-5892
(812) 473-6432
Mailing address
7899 RIDGEMONT DR, NEWBURGH, IN 47630-2817
(812) 853-8474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020681A
IN
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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