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Individual

DR. CHRISTINE MARIE FOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
521 ASBURY DR, MANDEVILLE, LA 70471-3132
(985) 951-2688
Mailing address
69477 TAVERNY CT, MADISONVILLE, LA 70447-3207
(985) 373-6599

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023954
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023954
PHARMACIST LICENSE
LA
Enumeration date
09/25/2021
Last updated
09/25/2021
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