Individual
THAO NGUYEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1831 WIEHLE AVE, SUITE 200, RESTON, VA 20190-5266
(703) 709-1114
(703) 709-6516
Mailing address
1831 WIEHLE AVE, SUITE 200, RESTON, VA 20190-5266
(703) 709-1114
(703) 709-6516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003232
VA
Other
Enumeration date
02/23/2010
Last updated
06/11/2013
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