Individual
MISS THAO PHUONG MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4810 LAPALCO BLVD, MARRERO, LA 70072-4326
(504) 341-0818
(504) 341-0567
Mailing address
96 WESTPARK CT, NEW ORLEANS, LA 70114-4998
(504) 723-3546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1530-568T
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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