Individual
MRS. ELIZABETH JEANNE MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
208 E SAINT PETER ST, CARENCRO, LA 70520-4009
(337) 896-3241
(337) 896-6741
Mailing address
102 BUCKLERIDGE RD, CARENCRO, LA 70520-5975
(337) 303-3471
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT.014210
LA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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