Individual
MS. AMIE L DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 N CANAL BLVD, THIBODAUX, LA 70301-2995
(985) 446-2456
(985) 447-6572
Mailing address
195 N CANAL BLVD, THIBODAUX, LA 70301-2995
(985) 446-2456
(985) 447-6572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16327
LA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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