Individual
KIM LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 BRIGHTON PL, HARVEY, LA 70058-1413
(504) 473-0592
Mailing address
1913 BRIGHTON PL, HARVEY, LA 70058-1413
(504) 473-0592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020331
LA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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