MISS Thao Phuong Mai, OD

NPI #1669584397 in Marrero, Louisiana

Provider Information

NPI Number: 1669584397
Entity Type: Individual
Name: MISS Thao Phuong Mai, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4810 LAPALCO BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072-4326
Phone: (504) 341-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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