Individual
MICHELLE QUYNHNHU NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9328 E RAINTREE DR, SCOTTSDALE, AZ 85260-2098
(602) 266-8463
Mailing address
2207 E BEACHCOMBER DR, GILBERT, AZ 85234-2879
(480) 246-7649
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
MTA 00043395
CA
363A00000X
Physician Assistant
Primary
7444
AZ
Other
Enumeration date
10/11/2011
Last updated
08/08/2019
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