Individual
RONDA JEANNETTE DIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
(318) 549-2110
Mailing address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
(318) 549-2110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17726
LA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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