Individual
NGOC VAN THI DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 JEWELLA AVE, SHREVEPORT, LA 71109-4706
(318) 631-9010
Mailing address
132 SUNRISE DR, MARRERO, LA 70072-5738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021887
LA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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