Individual
CALVIN VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1905 BRIGHTON PL, HARVEY, LA 70058-1413
(504) 376-7498
Mailing address
1905 BRIGHTON PL, HARVEY, LA 70058-1413
(504) 376-7498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
343233
LA
Other
Enumeration date
06/24/2024
Last updated
09/11/2024
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