Individual
DUSTIN HONGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
3829 DOLPHIN DR, MADISON, WI 53719-1870
(608) 848-6154
Mailing address
3829 DOLPHIN DR, MADISON, WI 53719-1870
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4146-146
WI
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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