Individual
THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9407 E PARK AVE, HOUMA, LA 70363-3946
(985) 876-3117
Mailing address
13326 LOURDES ST, NEW ORLEANS, LA 70129-1402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022543
LA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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