Individual
HOAI TIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4031 POPPS FERRY RD STE A, DIBERVILLE, MS 39540-2367
(228) 392-7310
Mailing address
851 FLAMINGO CV, BILOXI, MS 39532-4658
(228) 424-0728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10360
MS
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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