Individual
JENNIFER BETTY KINDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20861 ILLINOIS PATH, LAKEVILLE, MN 55044-5881
(952) 693-5767
Mailing address
20861 ILLINOIS PATH, LAKEVILLE, MN 55044-5881
(952) 693-5767
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
730405
MN
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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