Individual
STACEY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 DEXTER AVE, SUITE K, 2ND FLOOR, WATERTOWN, MA 02472-4238
(617) 600-3195
Mailing address
200 DEXTER AVE, SUITE K, 2ND FLOOR, WATERTOWN, MA 02472-4238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
276266
MA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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