Individual
JAMI GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1472 S COLLEGE RD, LAFAYETTE, LA 70503-2921
(337) 234-5834
Mailing address
PO BOX 1192, RAYNE, LA 70578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16351
LA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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