Individual
TAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4707 FLEUR DR, DES MOINES, IA 50321-2335
(515) 953-7413
Mailing address
4707 FLEUR DR, DES MOINES, IA 50321-2335
(515) 953-7413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20100
IA
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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