Individual
MR. BENJI JUNEAU
Active
Individual
MR. BENJI JUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
16348
LA
363A00000X
Physician Assistant
PA.200086
LA
Other
Enumeration date
09/25/2006
Last updated
11/07/2008
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