Individual
DENNIS LESLIE RAUBENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 E WHITETAIL ST, KUNA, ID 83634-2278
(951) 500-4552
Mailing address
2051 E WHITETAIL ST, KUNA, ID 83634-2278
(951) 500-4552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9022
ID
Other
Enumeration date
07/10/2012
Last updated
01/25/2024
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