Individual
MS. DIANE J BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
800B CANAL ST, NEW ORLEANS, LA 70112-2306
(504) 528-7099
(504) 528-7871
Mailing address
212 OCELOT DR, ARABI, LA 70032-2148
(504) 453-6023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14643
LA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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