Individual
DR. SHAWN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
1317 S DIAMOND BAR BLVD UNIT 5761, DIAMOND BAR, CA 91765-5675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34643
CA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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