Individual
KIM CHI TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 WESTBANK EXPY, GRETNA, LA 70053-3662
(504) 376-2349
Mailing address
89 WESTBANK EXPY, GRETNA, LA 70053-3662
(504) 376-2349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023597
LA
Other
Enumeration date
10/02/2020
Last updated
05/21/2021
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