Individual
BONNIE JEAN PATUREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12589 AIRLINE HWY, DESTREHAN, LA 70047-2501
(985) 764-1158
Mailing address
102 EVANGELINE LN, DESTREHAN, LA 70047-3045
(504) 274-8246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.014129
LA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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