MYLAN PHAM DANG

JEFFERSON, LA
NPI1841187226
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  241818)
Enumeration Date2025-06-19
Last Update Date2025-06-20
Business Address
MYLAN PHAM DANG
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-3000
Mailing Address
MYLAN PHAM DANG
1331 BURGESS DR
MARRERO, LA 70072-5978
Phone number: