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Individual

DIANE H KRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
619 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 626-5660
(685) 626-5748
Mailing address
82337 HEINTZ JENKINS RD, BUSH, LA 70431-2579
(985) 871-6680
(985) 626-5748

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14940
LA

Other

Enumeration date
03/18/2007
Last updated
07/08/2007
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