Individual
MINH QUANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 LOGAN ST, CAMP HILL, PA 17011-2730
(717) 307-5853
Mailing address
3415 LOGAN ST, CAMP HILL, PA 17011-2730
(717) 307-5853
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
37593601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37593601
—
PA
Enumeration date
10/02/2019
Last updated
10/02/2019
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