Individual
JOHNNY THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 116TH AVE NE STE 605, BELLEVUE, WA 98004-4697
(425) 454-8161
(425) 454-9304
Mailing address
1135 116TH AVE NE STE 605, BELLEVUE, WA 98004-4697
(425) 454-8161
(425) 454-9304
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2018
Last updated
08/29/2019
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