Individual
SUZETTE BONNEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6238
Mailing address
1605 BEN HOGAN DRIVE, NEW IBERIA, LA 70563
(337) 380-5405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013855
LA
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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