Individual
CRISTA JEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 S 5TH ST, LEESVILLE, LA 71446-5318
(337) 238-9305
(337) 238-9323
Mailing address
2204 S 5TH ST, LEESVILLE, LA 71446-5318
(337) 238-9305
(337) 238-9323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16208
LA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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