Individual
KHRISTI MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12589 AIRLINE HWY, DESTREHAN, LA 70047-2501
(985) 764-1158
Mailing address
26 OSBORNE AVE, KENNER, LA 70065-3108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019314
LA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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