Individual
MRS. TINA N NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
921 N.E 13TH STREET, OKLAHOMA CITY, OK 73104-5028
(405) 270-0501
(405) 290-1716
Mailing address
5401 SE 104TH ST, OKLAHOMA CITY, OK 73165-9723
(405) 270-0501
(405) 290-1716
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11612
OK
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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