Individual
PHUONG DUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 METRO CENTER DR, RESTON, VA 20190-5222
(703) 709-1560
(703) 709-1645
Mailing address
45594 VICTORIA STATION DR, STERLING, VA 20166-9242
(703) 728-6252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204822
VA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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