Individual
VINCENT NGUYEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9508 LA PLAYA ST NE, ALBUQUERQUE, NM 87111-3410
(505) 720-5614
Mailing address
9508 LA PLAYA ST NE, ALBUQUERQUE, NM 87111-3410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1225
NM
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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