Individual
MAI THI PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6706 NE 65TH AVE, VANCOUVER, WA 98661-1509
(360) 356-4524
Mailing address
6706 NE 65TH AVE, VANCOUVER, WA 98661-1509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60581163
WA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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