Individual
BEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 BLACK COAL ROAD, FORT WASHAKIE, WY 82514-0891
(307) 438-3346
Mailing address
PO BOX 891, FORT WASHAKIE, WY 82514-0891
(307) 438-3346
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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