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Individual

MS. TERRY NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-6696
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200842
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02131017
MS
05
2400070
LA
Enumeration date
07/02/2015
Last updated
09/14/2023
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