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Individual

JONIE THI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26207 MAPLE VALLEY BLACK DIAMOND RD SE STE D3, MAPLE VALLEY, WA 98038-8378
(253) 353-3337
Mailing address
27018 237TH PL SE, MAPLE VALLEY, WA 98038-5041
(253) 353-3337

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
WA
246ZA2600X
Medical Art Specialist/Technologist
Primary
WA

Other

Enumeration date
11/12/2021
Last updated
11/29/2021
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