Individual
MAI XUAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
755 NW GILMAN BLVD, SUITE G, ISSAQUAH, WA 98027
(425) 557-5530
(425) 427-8644
Mailing address
755 NW GILMAN BLVD, SUITE G, ISSAQUAH, WA 98027-5370
(425) 557-5530
(425) 645-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60167739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417269978
NPI
WA
Enumeration date
07/12/2010
Last updated
06/16/2015
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