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Individual

CORDESE SHAW JOLIVETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3414 MOSS ST STE C, LAFAYETTE, LA 70507-6107
(337) 592-3178
Mailing address
3414 MOSS ST STE C, LAFAYETTE, LA 70507-6107

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
018407
LA

Other

Enumeration date
12/19/2010
Last updated
12/19/2010
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