Individual
CHRISTINE K PASTILONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 747-0302
(318) 747-2742
Mailing address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 747-0302
(318) 747-2742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1197-365T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538833
—
LA
Enumeration date
04/14/2006
Last updated
10/23/2012
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