Individual
HOA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 REES STREET, BREAUX BRIDGE, LA 70517
(337) 507-3813
Mailing address
1401 REES STREET, BREAUX BRIDGE, LA 70517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021443
LA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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