Individual
WAYNE M. KLIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21430 HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 265-2191
Mailing address
13095 N SPRUCE ST, VACHERIE, LA 70090-3148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014548
LA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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