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Individual

HUONG T NGUYEN-DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000588
VA
152W00000X
Optometrist
TA1393
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010048516
VA
05
036211200
DC
05
406593000
MD
Enumeration date
09/21/2005
Last updated
04/14/2015
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