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Individual

BAMBI AISHA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
5952 AIRLINE HWY, BATON ROUGE, LA 70805-3201
(225) 355-6925
(225) 356-0379
Mailing address
5952 AIRLINE HWY, BATON ROUGE, LA 70805-3201
(225) 355-6925
(225) 356-0379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18127
LA

Other

Enumeration date
08/16/2010
Last updated
08/16/2010
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