Individual
MR. BENJI JUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1910 JOHN CIR, MONROE, LA 71201-4508
(318) 323-5446
Mailing address
1910 JOHN CIR, MONROE, LA 71201-4508
(318) 323-5446
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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