Individual
KELLY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 WESTBANK EXPY, WESTWEGO, LA 70094-4607
(504) 348-1026
Mailing address
7420 HESS DR, MARRERO, LA 70072-5993
(504) 432-1966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024954
LA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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