Individual
MISS CHRISTINA GAYLE MARCANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W MAPLE AVE, EUNICE, LA 70535-4320
(337) 457-5216
(337) 457-0920
Mailing address
1200 W MAPLE AVE, EUNICE, LA 70535-4320
(337) 457-5216
(337) 457-0920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1894460
—
LA
Enumeration date
09/07/2010
Last updated
09/07/2010
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