Individual
DR. ETHAN-QUAN H NGUYEN
Inactive
Individual
DR. ETHAN-QUAN H NGUYEN
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G77748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030454716
TAX ID
CA
Enumeration date
08/15/2005
Last updated
08/01/2013
Update your record
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