Individual
KHOA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16630 86TH AVE N, MAPLE GROVE, MN 55311-1445
(952) 215-6934
Mailing address
16630 86TH AVE N, MAPLE GROVE, MN 55311-1445
(952) 215-6934
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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