Individual
MRS. JENA FACIANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LAFAYETTE ST, GRETNA, LA 70053-5936
(504) 252-9686
Mailing address
500 LAFAYETTE ST, GRETNA, LA 70053-5936
(504) 252-9686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017707
LA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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