Individual
STACEY DEKINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4870 AIRLINE DR., BOSSIER CITY, LA 71111
(318) 746-2924
Mailing address
4870 AIRLINE DR., BOSSIER CITY, LA 71111
(318) 746-2924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21408
LA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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