Individual
MAILIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3818 K ST, PHILADELPHIA, PA 19124-5426
(215) 288-6118
Mailing address
3818 K ST, PHILADELPHIA, PA 19124-5426
(215) 288-6118
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
872274
PA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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