Individual
XOAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2786 CANTERBURY LN, MEDFORD, OR 97504-5112
(503) 860-6890
Mailing address
2786 CANTERBURY LN, MEDFORD, OR 97504-5112
(503) 860-6890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018538
OR
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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