Individual
HOLLY MARIA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
13728 STONE GATE DR, BATON ROUGE, LA 70816-1687
(225) 270-7523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200369
LA
Other
Enumeration date
09/03/2010
Last updated
04/26/2012
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