Individual
DIANA V. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3261 W STATE ST., PO BOX 116, ST. BONAVENTURE, NY 14778
(716) 375-2000
Mailing address
3261 W STATE ST., PO BOX 116, ST. BONAVENTURE, NY 14778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15453
MN
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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