Individual
KELLY BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ROBERT E LEE BLVD, NEW ORLEANS, LA 70124-2560
(504) 282-2203
(504) 282-2209
Mailing address
101 ROBERT E LEE BLVD, NEW ORLEANS, LA 70124-2560
(504) 282-2203
(504) 282-2209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17186
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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