Individual
JUSSARA GUIMARAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PST
Contact information
Practice address
2045 HIGHWAY 59, MANDEVILLE, LA 70448-1909
(985) 626-9726
Mailing address
2045 HIGHWAY 59, MANDEVILLE, LA 70448-1909
(985) 626-9726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.016285
LA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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