Individual
THAI QUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 E MAIN ST, NEW IBERIA, LA 70560-3920
(337) 365-8048
Mailing address
1104 E MAIN ST, NEW IBERIA, LA 70560-3920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022270
LA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
About Stedi
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