Individual
VI NGOC PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 MASSACHUSETTS AVE, INDIANAPOLIS, IN 46204-2108
(317) 631-6000
Mailing address
1963 S OAK DR, LAWRENCEVILLE, GA 30044-2818
(678) 670-6610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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