Individual
THUY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 HIGHWAY 22, MANDEVILLE, LA 70471-3300
(985) 674-3320
Mailing address
1248 BLUEWATER DR, MANDEVILLE, LA 70471-7418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18586
LA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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