Individual
NGUYEN-LY VO HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 NW 128TH ST, STE 200, CLIVE, IA 50325
(734) 502-6716
(515) 358-9650
Mailing address
1275 NW 128TH ST, STE 200, CLIVE, IA 50325
(515) 224-3948
(515) 224-2944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001868
IA
Other
Enumeration date
02/21/2008
Last updated
03/14/2019
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