Individual
MYHIEN THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
2020 VALLEY VIEW CIR APT 10107, BOSSIER CITY, LA 71111-4186
(504) 355-6463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022698
LA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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