Individual
JASON NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10379B DEMOCRACY LN, FAIRFAX, VA 22030-2505
(571) 530-9538
Mailing address
5025 CLIFFHAVEN DR, ANNANDALE, VA 22003-4346
(571) 286-8382
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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