Individual
MRS. KELLY JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3916 HIGHWAY 22, MANDEVILLE, LA 70471-7306
(985) 273-5099
(985) 206-9766
Mailing address
770 FOREST LOOP, MANDEVILLE, LA 70471-2640
(985) 788-1385
(985) 206-9766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15918
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1897400
—
LA
Enumeration date
08/11/2010
Last updated
01/04/2023
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