Individual
NAM PHUONG NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5831 W PARK AVE, HOUMA, LA 70364-1424
(985) 868-9118
Mailing address
114 BLAIR DR, HOUMA, LA 70363-7927
(504) 940-4465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022694
LA
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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