Individual
JASIE GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4545 W ESPLANADE AVE, METAIRIE, LA 70006-2800
(504) 888-0472
Mailing address
3500A MAGAZINE ST, NEW ORLEANS, LA 70115-2543
(225) 571-2352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19436
LA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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