Individual
MRS. PHUONG THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005
Mailing address
8600 RAVENSWOOD CIR, WAUWATOSA, WI 53226-4658
(414) 258-2005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1677015-30
WI
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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