Individual
XUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 JEFFERSON TER, NEW IBERIA, LA 70560-5726
(337) 376-6868
Mailing address
807 JEFFERSON TER, NEW IBERIA, LA 70560-5726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17332
LA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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