Individual
MISS KIMPHUONG THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7601 CORONET DR, PENSACOLA, FL 32514-4504
(504) 491-1249
Mailing address
7601 CORONET DR, PENSACOLA, FL 32514-4504
(504) 491-1249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32874
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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