Individual
MRS. PHUONG THI KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 685-4259
Mailing address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
08/09/2011
Last updated
03/19/2024
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