Individual
MYRA L NAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1772 CANAL BLVD, THIBODAUX, LA 70301-5225
(985) 447-3746
(985) 447-2853
Mailing address
102 CLAYTON DR, HOUMA, LA 70360-6141
(985) 447-3746
(985) 447-2853
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7240PT
LA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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