Individual
MARYAM GUIRGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 E MILTON AVE, YOUNGSVILLE, LA 70592-5379
(337) 856-8881
Mailing address
111 WESTGATE RD, LAFAYETTE, LA 70506-2710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012548
CT
183500000X
Pharmacist
PST.020903
LA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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