Individual
MAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 S GRANITE ST, PRESCOTT, AZ 86303-4710
(928) 445-5400
Mailing address
146 S GRANITE ST, PRESCOTT, AZ 86303-4710
(928) 445-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135626
AZ
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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