Individual
GIZZELLE ANN BOZONIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 GATEWAY DR, SLIDELL, LA 70461-5540
(985) 646-6543
Mailing address
2136 WELLINGTON LN, SLIDELL, LA 70461-4830
(985) 646-1589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15049
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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