Individual
JENNIFER ELIZABETH KORUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3620 PINES RD, SHREVEPORT, LA 71119-5206
(318) 631-9804
Mailing address
2508 LAKECREST DR, SHREVEPORT, LA 71109-3005
(318) 423-4801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16255
LA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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