Individual
JESSICA LUCILLA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T.A
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4502
Mailing address
911 BAYOU RESERVE CT, THIBODAUX, LA 70301-9317
(706) 464-6814
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2301-0010-2070-662
TX
Other
Enumeration date
02/03/2009
Last updated
03/23/2016
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