Individual
THANH THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(877) 868-5351
Mailing address
13387 W BLUEBONNET DR, BOISE, ID 83713-1311
(801) 835-3653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06200981
ID
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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