Individual
QUE NGUYET TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KEYSER AVE, NATCHITOCHES, LA 71457-5802
(318) 357-0451
Mailing address
5004 EDEN ROC DR, MARRERO, LA 70072-4933
(504) 432-8321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022655
LA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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