Individual
JENNIFER SNELLGROVE BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S CUSHING AVE, KAPLAN, LA 70548-5301
(337) 643-8611
Mailing address
103 BRITAIN CIR, LAFAYETTE, LA 70508-7161
(337) 412-6486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14199
LA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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