Individual
MRS. KIM LE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3252
(228) 867-5088
Mailing address
13051 GLENNWOOD PL, GULFPORT, MS 39503-2470
(228) 547-7631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08862
MS
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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