Individual
KELLY-THANH THIEN HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12007 LAMEY BRIDGE RD, DIBERVILLE, MS 39540-8907
(228) 392-2388
Mailing address
20195 BELLE VUE CIR, DIBERVILLE, MS 39540-2464
(228) 257-7384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100571
MS
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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