Individual
THUY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 SANGANI BLVD, DIBERVILLE, MS 39540-8770
(228) 396-4778
Mailing address
3615 SANGANI BLVD, DIBERVILLE, MS 39540-8770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16667
MS
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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