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Individual

DR. THUCUC THI-THU NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9725 SE 36TH ST, SUITE, MERCER ISLAND, WA 98040-3841
(206) 236-5553
(206) 236-0506
Mailing address
9725 SE 36TH ST, SUITE, MERCER ISLAND, WA 98040-3841
(206) 236-5553
(206) 236-0506

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00026682
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4308909
AETNA PIN #
01
NG5663
REGENCE PIN#
Enumeration date
01/10/2007
Last updated
07/08/2007
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