Most Relevant Information
Provider Data
| NPI Number: | 1003194457 |
| Provider Name: | KYLE LANCE JANZEN CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2011 |
| Last Updated: | 08/02/2011 |
Provider Practice Location
13660 CALIFORNIA ST
OMAHA
NE
681545233
Practice Location Phone/Fax
| Phone: | 8005465677 |
| Fax: |
Provider Mailing Location
13660 CALIFORNIA ST
OMAHA
NE
681545233
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |