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Individual

DR. AMANDA SIMS DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
4974 HIGHWAY 3276 STE B, STONEWALL, LA 71078-9335
(318) 775-4371
(318) 775-7369
Mailing address
4974 HIGHWAY 3276 STE B, STONEWALL, LA 71078-9335
(318) 775-4371
(318) 775-7369

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019390
LA

Other

Enumeration date
09/11/2014
Last updated
12/13/2016
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