KEVIN KENT MIANO

LA PLACE, LA
NPI1093826877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  10569)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. KEVIN KENT MIANO rph
1830 W AIRLINE HWY
LA PLACE, LA 70068-3335
Phone number: 985-653-9974
Mailing Address
Mr. KEVIN KENT MIANO rph
39704 ROU MAR NEI DR
PONCHATOULA, LA 70454-6485
Phone number: 985-370-5767