Individual
DR. KEISHA LASHAWN SULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 391-5152
Mailing address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 391-5152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017244
LA
Other
Enumeration date
08/01/2011
Last updated
05/08/2014
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