Individual
VY-JONATHAN XUAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 TERRY PKWY, TERRYTOWN, LA 70056-5270
(504) 392-1551
Mailing address
670 S RUE MARCEL, GRETNA, LA 70056-8203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022607
LA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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