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Individual

DR. PHANDINH NGOC NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND, MD

Contact information

Practice address
330 SW 43RD ST,SUITE L, RENTON, WA 98057
(425) 324-4745
(253) 981-4815
Mailing address
330 SW 43RD ST STE L, RENTON, WA 98057-4900
(425) 324-4745
(253) 981-4815

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60616795
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2061470
WA
Enumeration date
09/01/2016
Last updated
09/01/2016
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