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Individual

NAM NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ABOC

Contact information

Practice address
3535 PERKINS RD STE 330, BATON ROUGE, LA 70808-2292
(225) 388-0028
(225) 388-0032
Mailing address
3535 PERKINS RD STE 330, BATON ROUGE, LA 70808-2292
(225) 388-0028
(225) 388-0028

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
207139
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207139
AMERICAN BOARD OF OPTICIAN CERTIFICATION
LA
Enumeration date
07/22/2019
Last updated
07/22/2019
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