Individual
MISS KRISTY MONGLAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(800) 437-2672
Mailing address
3540 PADDOCK RD, WESTON, FL 33331-3521
(954) 290-7419
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
620
FL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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