Individual
DIANA MARIE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12308 PLANK RD, BATON ROUGE, LA 70811-1037
(225) 774-8563
(225) 775-5706
Mailing address
12308 PLANK RD, BATON ROUGE, LA 70811-1037
(225) 774-8563
(225) 775-5706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018246
LA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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