Individual
GINA DIMATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
29881 WALKER SOUTH RD, WALKER, LA 70785
(225) 665-4580
Mailing address
PO BOX 1448, WALKER, LA 70785-1448
(225) 665-4580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018306
LA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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