Individual
HAI-VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 EASTSIDE DR, NEWTON, MS 39345-8035
(601) 683-6117
Mailing address
231 EASTSIDE DR, NEWTON, MS 39345-8035
(601) 683-6117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-15905
MS
Other
Enumeration date
01/15/2021
Last updated
08/20/2021
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