Individual
DR. JANE TEMITOPE FADESERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3535 SEVERN AVE, METAIRIE, LA 70002-3482
(504) 456-4851
Mailing address
5300 VETERANS BLVD, METAIRIE, LA 70003-1726
(504) 456-4851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17798
MD
183500000X
Pharmacist
Primary
18643
LA
183500000X
Pharmacist
47232
TX
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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