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Individual

TIFFANY TRINH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
200 BANNING ST STE 130, DOVER, DE 19904-3486
(302) 678-1700
(302) 678-2330
Mailing address
200 BANNING ST STE 130, DOVER, DE 19904-3486
(302) 450-3025
(302) 678-2330

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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