Individual
MY-NGOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9983 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6458
(225) 769-4208
Mailing address
9983 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019651
LA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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