Individual
DIALA AJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WESTGATE RD, LAFAYETTE, LA 70506-2710
(337) 232-5506
Mailing address
111 WESTGATE RD, LAFAYETTE, LA 70506-2710
(337) 232-5506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25031
LA
Other
Enumeration date
03/28/2024
Last updated
03/31/2024
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