Organization
PHUONG T NGUYEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHUONG THI NGUYEN NURSING (REGISTERED NURSE)
(414) 258-2005
Entity
Organization
Contact information
Practice address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005
Mailing address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
12/17/2010
Last updated
07/21/2022
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