Individual
MRS. BRANDY VIALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32555 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2402
Mailing address
32555 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16612
LA
Other
Enumeration date
09/28/2015
Last updated
07/23/2020
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