Individual
SHAYLA R. DESPANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4313 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6703
(337) 981-9673
(337) 347-5089
Mailing address
606 EDISON ST, LAFAYETTE, LA 70501-3338
(337) 501-0280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023553
LA
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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