Individual
CARLY C NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MAIN ST, EVERSON, WA 98247-8217
(360) 788-4228
Mailing address
2109 S F ST, SPOKANE, WA 99224-4749
(509) 954-7697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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