Individual
MRS. MARYLANE MILETELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2123 FORSYTHE AVE, MONROE, LA 71201-3610
(318) 398-2100
Mailing address
310 GARDEN DR, MONROE, LA 71201-2826
(504) 201-5982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022668
LA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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