Individual
BO L NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 E SANDERS ST, GONZALES, LA 70737-3144
(225) 439-9220
Mailing address
212 N BURNSIDE AVE, GONZALES, LA 70737-2824
(225) 439-9220
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
04216
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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