Individual
MAILYNN H. PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3505 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70503-5130
(337) 984-1488
(337) 981-8240
Mailing address
101 SETTLERS TRACE BLVD, 2221, LAFAYETTE, LA 70508-6052
(714) 890-2608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1591-624T
LA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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