Individual
DAN VY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W MAIN ST, THIBODAUX, LA 70301-5426
(985) 492-5304
Mailing address
224 W MAIN ST, THIBODAUX, LA 70301-5426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021808
LA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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