Individual
KARA VANTAGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 N HIGHWAY 171, MOSS BLUFF, LA 70611-5343
(337) 855-4848
Mailing address
1330 W MCNEESE ST APT 10314, LAKE CHARLES, LA 70605-4495
(440) 623-0794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021805
LA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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