Individual
JESSICA THIAC AUCOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16759 LA-3235, GALLIANO, LA 70345
(985) 632-4727
Mailing address
3304 MARYLAND AVE, KENNER, LA 70065-3811
(504) 202-0841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023450
LA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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