Individual
MS. PHUONG NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6605 4TH ST NW, LOS RANCHOS, NM 87107-6112
(505) 345-8491
Mailing address
11219 CANYONLANDS RD SE, ALBUQUERQUE, NM 87123-5776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007652
NM
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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