Individual
DWANA SHARAE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SAINT NAZAIRE RD, BROUSSARD, LA 70518-4202
(337) 837-1640
Mailing address
618 BLACKLINE RD, NEW IBERIA, LA 70563-0341
(337) 519-5346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021635
LA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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