Individual provider · Type 1 NPI

Susan Danette Jensen, TT47289

Pharmacy Technician · Caldwell, ID

NPI number 1114677655 Active

About NPI 1114677655

Susan Danette Jensen, TT47289's National Provider Identifier is 1114677655, issued on Mar 27, 2022. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Caldwell, ID. The record was last updated on Mar 27, 2022.