Individual
MRS. TAWANA SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 JOHNSTON ST STE K, LAFAYETTE, LA 70503-5138
(337) 991-3800
Mailing address
5520 JOHNSTON ST STE K, LAFAYETTE, LA 70503-5138
(337) 991-3800
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
310613
LA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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