Individual
BRYSON COLE BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 ELTON RD STE M, JENNINGS, LA 70546-4100
(337) 246-3946
Mailing address
1322 ELTON RD, JENNINGS, LA 70546-4100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021723
LA
Other
Enumeration date
09/02/2016
Last updated
07/14/2020
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