Individual
JENNY T PERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 GAUSE BLVD E, SLIDELL, LA 70461-5431
(985) 641-3847
Mailing address
306 CITATION DR, MADISONVILLE, LA 70447-9112
(504) 319-2724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45953
LA
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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