Individual
ALEXIS JADE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 TERRY PKWY, TERRYTOWN, LA 70056-5270
(504) 582-0322
Mailing address
3460 TAMBOUR DR, MARRERO, LA 70072-5368
(504) 919-2424
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
013950
LA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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