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Individual

DR. KHOA M NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5230 PORT ROYAL RD, SPRINGFIELD, VA 22151-2102
(703) 321-8440
Mailing address
5790 REXFORD CT UNIT F, SPRINGFIELD, VA 22152-1085
(703) 628-8325

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206833
VA

Other

Enumeration date
04/17/2012
Last updated
04/17/2012
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