Individual
NHUNG THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 RIVER TRACE DR, DIBERVILLE, MS 39540-5556
(228) 806-9320
Mailing address
3915 RIVER TRACE DR, DIBERVILLE, MS 39540-5556
(228) 806-9320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000000
MS
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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