Individual
NICOLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W JUDGE PEREZ DR, CHALMETTE, LA 70043-5002
(504) 276-6192
Mailing address
100 W JUDGE PEREZ DR, CHALMETTE, LA 70043-5002
(504) 276-6192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19127
LA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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