Organization
CHIEN NGUYEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA LEE THAMES (BILLING MANAGER)
(850) 682-5332
Entity
Organization
Contact information
Practice address
151 EAST REDSTONE AVENUE, CRESTVIEW, FL 32539
(850) 682-5332
(850) 683-5333
Mailing address
151 EAST REDSTONE AVENUE, CRESTVIEW, FL 32539
(850) 682-5332
(850) 683-5333
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME0054795
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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