Individual
KENNETTA ELESHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 PLANK RD, BATON ROUGE, LA 70805-8027
(225) 357-1484
Mailing address
2520 PLANK RD, BATON ROUGE, LA 70805-8027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025640
LA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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