Individual
ELVA Y ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 AVONDALE LN, BOSSIER CITY, LA 71112-4266
(318) 746-3683
Mailing address
265 AVONDALE LN, BOSSIER CITY, LA 71112-4266
(318) 746-3683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45534
LA
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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