Individual
MR. KENNETH JOSEPH BONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3754 MOSS ST, LAFAYETTE, LA 70507-5537
(337) 269-9300
(337) 235-7416
Mailing address
3754 MOSS ST, LAFAYETTE, LA 70507-5537
(337) 269-9300
(337) 235-7416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08620
LA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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