Individual
JIMMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61415675
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/24/2020
Last updated
01/21/2025
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