Individual
OANH HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
740 JACKSON BANK PL NW, LILBURN, GA 30047-6067
(678) 523-0811
(770) 638-4631
Mailing address
740 JACKSON BANK PL NW, LILBURN, GA 30047-6067
(678) 523-0811
(770) 638-4631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN073491
GA
347C00000X
Private Vehicle
053173339
GA
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/14/2011
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