Individual
NICOLE HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 KALISTE SALOOM RD STE 103, LAFAYETTE, LA 70508-5784
(337) 210-1248
(337) 210-1249
Mailing address
1190 HEBERT LN, SAINT MARTINVILLE, LA 70582-6109
(337) 288-4054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018040
LA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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