Individual
MERCEDES MAI PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4327 JEFFERSON HWY, JEFFERSON, LA 70121-1519
(504) 731-1431
Mailing address
2300 EDENBORN AVE APT 3-178, METAIRIE, LA 70001-1837
(228) 233-0393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025013
LA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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