Individual ProviderJane Marie KreisPharmacistPharmacy Service ProvidersPractice AddressTravis Afb, 101 Bodin Circle, Fairfield, CA 94535(707) 423-7121(707) 448-1225PECOS EnrollmentBased on the most recent information from CMS, provider Jane Marie Kreis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1780897355Provider TypeIndividualFull NameKreis, Jane MarieCredentialRPH, MBAGenderFemaleSole ProprietorNoEnumeration Date5/8/2007Last Updated7/8/2007Contact InformationPractice LocationPractice AddressTravis Afb, 101 Bodin Circle, Fairfield, CA 94535Phone(707) 423-7121FaxUnlisted FaxMailing LocationMailing Address724 Roscommon Drive, Vacaville, CA 95688Phone(707) 448-1225FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense17329Ohio