Individual
MINDY THI NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11022 HIGHWAY 49, GULFPORT, MS 39503-4110
(228) 832-8981
Mailing address
2228 KILLINGTON DR, HARVEY, LA 70058-5435
(504) 813-7291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15672
MS
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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