Individual
NAZAVIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 S 4TH ST, MONROE, LA 71202-2807
(318) 372-8147
Mailing address
1312 S 4TH ST, MONROE, LA 71202-2807
(318) 372-8147
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
015505
LA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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