Individual
MR. RUDY LETELLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 AUDERER BLVD, WAVELAND, MS 39576-2432
(228) 463-1055
(228) 463-0117
Mailing address
PO BOX 3867, BAY ST LOUIS, MS 39521-3867
(228) 493-1055
(228) 463-0117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-07445
MS
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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