Individual
TOMMY TAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3848 VETERANS MEMORIAL BLVD, # 202, METAIRIE, LA 70002-5671
(225) 205-7060
Mailing address
3848 VETERAN MEMORIAL BLVD, # 202, METAIRIE, LA 70002-5636
(225) 205-7060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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