De'shanae Renae Dean

NPI #1558805929 in Port Allen, Louisiana

Provider Information

NPI Number: 1558805929
Entity Type: Individual
Name: De'shanae Renae Dean
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 5, 2016
Last Updated: Dec 5, 2016

Practice Location

Address: 220 N ALEXANDER AVE
City: Port Allen
State: Louisiana
ZIP Code: 70767-2514
Phone: (225) 382-0665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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