DEBRA LYNN BRAXTON

LULING, LA
NPI1063794865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14452)
Enumeration Date2011-09-16
Last Update Date2011-09-16
Business Address
Miss DEBRA LYNN BRAXTON
1313 PAUL MAILLARD RD
LULING, LA 70070-4549
Phone number: 985-785-1753
Mailing Address
Miss DEBRA LYNN BRAXTON
1313 PAUL MAILLARD RD
LULING, LA 70070-4549
Phone number: