Individual
MATTHEW JOHN GUARISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 NORTHWEST BLVD, FRANKLIN, LA 70538-3120
(337) 828-0926
(337) 828-0926
Mailing address
619 FAIRVIEW DR, BERWICK, LA 70342-2084
(985) 385-5194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14303
LA
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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