Individual
ANGELICA TRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10828 HIGHWAY 57, VANCLEAVE, MS 39565-8264
(228) 826-4711
Mailing address
14500 PINE RIDGE RD, OCEAN SPRINGS, MS 39565-7807
(504) 495-9087
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
901484
MS
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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