Individual
DONNATA ANTOINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 377-8821
Mailing address
1102 REBECCA REID DR, SLIDELL, LA 70461-5371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16872
LA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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