Individual
KEVIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5575 BYRON CENTER AVE SW, WYOMING, MI 49519-9603
(616) 534-5175
Mailing address
6162 ARROWCREST CT NE, ROCKFORD, MI 49341-7368
(616) 951-2775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042830
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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