Individual
SANDRA KETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
303 E INTERSTATE DR, JENNINGS, LA 70546-3021
(337) 824-9010
(337) 824-4734
Mailing address
303 E INTERSTATE DR, JENNINGS, LA 70546-3021
(337) 824-9010
(337) 824-4734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14427
LA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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