Individual
LATASHA MONIQUE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4828 NELSON RD, LAKE CHARLES, LA 70605-5214
(337) 477-9068
(447) 477-4864
Mailing address
2899 SUGARLOAF DR, LOT 12, LAKE CHARLES, LA 70607-7548
(337) 831-8185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18790
LA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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