Individual
JENNIFER P NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 ALA MALAMA ST, KAUNAKAKAI, HI 96748-9674
(808) 553-5353
Mailing address
1425 BROADWAY # 142, SEATTLE, WA 98122-3854
(510) 684-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-20732
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
10/16/2019
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