Individual
DR. BOB JOHN MATRIANO-LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1850 N MARKET ST, SHREVEPORT, LA 71107-5212
(318) 222-2972
(318) 222-1889
Mailing address
204 SILVER FOX CIR, HAUGHTON, LA 71037-7704
(318) 564-8880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017233
LA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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