MRS. Amanda Kibodeaux

NPI #1114232378 in Rayne, Louisiana

Provider Information

NPI Number: 1114232378
Entity Type: Individual
Name: MRS. Amanda Kibodeaux
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 12, 2010
Last Updated: Aug 12, 2010

Practice Location

Address: 1204 THE BLVD
City: Rayne
State: Louisiana
ZIP Code: 70578-6219
Phone: (337) 334-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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