Individual
DR. THERESA T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 894-5775
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 894-5775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010005351
MO
152W00000X
Optometrist
2617
OK
Other
Enumeration date
06/01/2009
Last updated
12/09/2019
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