Individual
MRS. GERADINE MAYVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.D
Contact information
Practice address
5400 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-2020
(504) 899-3992
Mailing address
735 HUEY P LONG AVE, GRETNA, LA 70053-6125
(504) 362-5106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10594
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10594
PHARMACIST
LA
Enumeration date
05/31/2007
Last updated
07/08/2007
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