Individual
DIANA THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WESTPORT AVE, NORWALK, CT 06851-3931
(203) 845-0457
Mailing address
105 CHURCHILL ST, APT.3, FAIRFIELD, CT 06824-6106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012744
CT
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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