Individual
MS. MARLA DELOUISE GIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
3128 TRADITION AVE, BATON ROUGE, LA 70810-0339
(225) 769-0890
(225) 757-1393
Mailing address
3128 TRADITION AVE, BATON ROUGE, LA 70810-0339
(225) 769-0890
(225) 757-1393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13867
LA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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