Individual
MICHELLE MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 MAIN ST, BAKER, LA 70714-2835
(225) 778-1843
(225) 778-2918
Mailing address
1214 MAIN ST, BAKER, LA 70714-2835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17225
LA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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