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Individual

MRS. ANH V TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
64185 HWY 41 ST. B, PEARL RIVER, LA 70452
(985) 250-8000
(985) 250-8001
Mailing address
64185 HWY 41 ST. B, PEARL RIVER, LA 70452
(985) 250-8000
(985) 250-8001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1870-805AT
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1870-805AT
LA
Enumeration date
08/02/2018
Last updated
09/14/2022
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