Individual
JEANNE J BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, MA
Contact information
Practice address
2001 S BURNSIDE AVE, GONZALES, LA 70737-4638
(225) 644-5641
(225) 644-0353
Mailing address
2001 S BURNSIDE AVE, GONZALES, LA 70737-4638
(225) 644-5641
(225) 644-0353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014847
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA.004028
MEDICATION ADMINISTRATION
LA
Enumeration date
04/29/2019
Last updated
04/29/2019
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