Individual
MARCILLIN ZETRENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2204 S 5TH ST, LEESVILLE, LA 71446-5327
(337) 238-9305
Mailing address
1450 NW 47TH AVE, COCONUT CREEK, FL 33063-3947
(954) 903-8196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025173
LA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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