Individual
AKSANA PETROVNA TSISINEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9983 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6458
(225) 769-4208
Mailing address
355 S CLUB AVE, SAINT GABRIEL, LA 70776-4440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
003432
LA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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