Individual
MR. JOSE MIGUEL YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
140 GAUSE BLVD, SLIDELL, LA 70458-2030
(985) 641-7557
(985) 641-7357
Mailing address
1434 RUE BAYONNE, MANDEVILLE, LA 70471-1231
(985) 727-7494
(985) 641-7357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14932
LA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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