Individual
CHANH TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5166
(360) 493-7525
Mailing address
505 LEGION WAY SE UNIT 204, OLYMPIA, WA 98501-1420
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
04/17/2026
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