Individual
THAO TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 GAUSE BLVD E, SLIDELL, LA 70461-5431
(985) 641-3847
Mailing address
4632 WRIGHT RD, NEW ORLEANS, LA 70128-3039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021215
LA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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