Individual
DIEM VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 E MILTON AVE, YOUNGSVILLE, LA 70592-5349
(337) 856-9910
Mailing address
113 CHERRY BARK LN, LAFAYETTE, LA 70508-8146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024383
LA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
About Stedi
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