Individual
WANDA LEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1717 S UNION ST, SUITE 2, OPELOUSAS, LA 70570-5745
(337) 948-7703
(337) 948-9975
Mailing address
PO BOX 2458, OPELOUSAS, LA 70571-2458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17880
LA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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