Individual
MR. PHUC H NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2326 U ST, LINCOLN, NE 68503-3059
(402) 770-2367
Mailing address
5330 N 15TH ST, LINCOLN, NE 68521-5216
(402) 770-2367
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11156430
NE
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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