Individual
PHUONG-THANH THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4807 196TH ST SW, SUITE 100, LYNNWOOD, WA 98036-6430
(425) 835-5850
Mailing address
14607 52ND AVE W, UNIT 503, EDMONDS, WA 98026-3849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60350582
WA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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