Individual
TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2105 OLD SPANISH TRL, GAUTIER, MS 39553-6000
(228) 205-7762
Mailing address
2105 OLD SPANISH TRL, GAUTIER, MS 39553-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1107
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
05/13/2024
Last updated
08/27/2024
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