Individual
KATELYN WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6485 GROOM RD, BAKER, LA 70714-4335
(225) 614-9471
Mailing address
505 BERNARD ST, NEW ROADS, LA 70760-3221
(225) 240-3665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST0246
LA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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