Individual
MRS. ANNETTE A. MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 E TUNNEL BLVD, HOUMA, LA 70363-5849
(985) 873-2937
Mailing address
1511 E TUNNEL BLVD, HOUMA, LA 70363-5849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14416
LA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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