Individual
TIFFANY TRINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
123305
AK
152W00000X
Optometrist
Primary
I4-0000097
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123305
BOARD OF EXAMINERS OF ALASKA
AK
01
—
I3-0001409
DELAWARE OPTOMETRIST
DE
01
—
I4-0000097
DELAWARE THERAPEUTIC OPTOMETRIST INTERN
DE
Enumeration date
07/21/2017
Last updated
04/16/2019
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