Individual
AMANDA T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W SUNSET DR, WAUKESHA, WI 53189-8423
(262) 832-1273
Mailing address
1250 W SUNSET DR, WAUKESHA, WI 53189-8423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2104440
WI
Other
Enumeration date
08/06/2021
Last updated
08/24/2021
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