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Individual

MS. AN THUY HONG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008595
IL
363A00000X
Physician Assistant
Primary
2022038139
MO

Other

Enumeration date
09/15/2021
Last updated
09/13/2023
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