Individual
JAMILEH MOEZIVAZIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 BLUEBONNET BLVD, BATON ROUGE, LA 70810-1632
(225) 766-9091
Mailing address
1161 LAKE AVE APT 326, METAIRIE, LA 70005-2455
(504) 339-1982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PNT.046986
LA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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