Individual
MRS. KAYLA D BRIDGES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
252 HIGHWAY 132, MANGHAM, LA 71259-5268
(318) 248-3338
(318) 248-3399
Mailing address
291 SCALES RD, RAYVILLE, LA 71269-6470
(318) 728-0828
(318) 248-3399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15199
PHARMACY LIC
LA
Enumeration date
03/29/2006
Last updated
07/08/2007
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