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Individual

ALINE MA NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
875 WESLEY ST STE 230, ARLINGTON, WA 98223-1668
(360) 435-6097
(360) 435-1871
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61096971
WA
363AM0700X
Medical Physician Assistant
PA61096971
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61096971
WA

Other

Enumeration date
09/10/2019
Last updated
10/26/2022
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