Amanda Kibodeaux Valid NPI
Individual provider · Pharmacist · Rayne, LA
- NPI
- 1114232378
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 15958 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-08-12
- Last updated
- 2010-08-12
Practice location
1204 The Blvd
Rayne, LA 70578-6219
(337) 334-6611