Individual
DORA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3590 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2719
(616) 530-2338
Mailing address
2926 FLORENCE DR SW, WYOMING, MI 49418-9736
(616) 328-7225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414610
MI
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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