Individual
MRS. DIANE CAROL LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
307 E NATIONAL AVE, BRAZIL, IN 47834-2629
(812) 446-2301
Mailing address
209 GARDENDALE RD, TERRE HAUTE, IN 47803-1733
(812) 240-5123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26092030A
IN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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