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Individual

MS. MARIA T NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Mailing address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500636
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100411680B
KS
Enumeration date
06/17/2005
Last updated
08/21/2013
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