Individual
MARNETTA MALVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 MOSS ST, LAFAYETTE, LA 70507
(337) 269-9300
(337) 235-7416
Mailing address
3754 MOSS ST, LAFAYETTE, LA 70507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17446
LA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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