Individual
UYEN TRAM NGOC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 HARRISON AVE, NEW ORLEANS, LA 70124-3156
(504) 483-2383
Mailing address
760 HARRISON AVENUE, NEW ORLEANS, LA 70124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019882
LA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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