Individual
KOURTNEY KENNEDY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PST. 020858
Contact information
Practice address
4660 PALMETTO RD STE D, BENTON, LA 71006-9742
(318) 965-6211
Mailing address
485 MORGAN RD, SAREPTA, LA 71071-2737
(318) 422-4349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020858
LA
Other
Enumeration date
08/20/2015
Last updated
12/29/2023
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