Individual
LINDA TRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 BARATARIA BLVD, MARRERO, LA 70072-4203
(504) 340-2211
Mailing address
229 BRETT DR, GRETNA, LA 70056-7211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18344
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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