Individual
KHANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 HIGHWAY 90, WAVELAND, MS 39576-2507
(228) 467-9247
(228) 467-4207
Mailing address
403 HIGHWAY 90, WAVELAND, MS 39576-2507
(228) 467-9247
(228) 467-4207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13543
MS
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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