Individual
KAIA BOATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 GOVERNMENT ST, BATON ROUGE, LA 70806-5718
(225) 343-8878
(225) 334-9075
Mailing address
6294 PAYNE RD, ETHEL, LA 70730-3306
(225) 244-0961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023884
LA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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