Individual
DIEM-KIEU THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 PASS RD, BILOXI, MS 39531-2111
(228) 388-3458
Mailing address
14404 N SWAN RD, GULFPORT, MS 39503-8310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100496
MS
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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