SCOTT DIETZWAY

KENNER, LA
NPI1023324977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  017749)
Enumeration Date2010-08-28
Last Update Date2010-08-28
Business Address
SCOTT DIETZWAY
821 W ESPLANADE AVE
KENNER, LA 70065-2758
Phone number: 504-468-5479
Mailing Address
SCOTT DIETZWAY
821 W ESPLANADE AVE
KENNER, LA 70065-2758
Phone number: 504-468-5479
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