Individual
JULIE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 433-2413
Mailing address
16350 53RD PL S, TUKWILA, WA 98188-2789
(206) 420-9917
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
60098561
WA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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