Individual
THANH CHAU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 989-8325
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 989-8325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN16158
HI
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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