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Organization

PHUONG T NGUYEN

Active
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Organization

PHUONG T NGUYEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PHUONG THI NGUYEN NURSING (REGISTERED NURSE)
(414) 258-2005
Entity
Organization

Contact information

Practice address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005
Mailing address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI

Other

Enumeration date
12/17/2010
Last updated
07/21/2022
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