Individual
PATRICIA WADE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 CYPRESS ST, WEST MONROE, LA 71291-5337
(318) 325-3142
Mailing address
733 DUMMY LINE RD, RAYVILLE, LA 71269-7767
(318) 376-2136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015496
LA
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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