Individual
TANESIA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 ELYSIAN FIELDS AVE STE 200, NEW ORLEANS, LA 70117-8208
(504) 535-3676
Mailing address
3317 DAUTERIVE DR, CHALMETTE, LA 70043-2401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022739
LA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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