Individual
THUY THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6742
Mailing address
8407 KIRKVILLE DR, HOUSTON, TX 77089-2287
(832) 738-3073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10023
TX
152W00000X
Optometrist
3187
CT
152W00000X
Optometrist
3878-35
WI
152W00000X
Optometrist
Primary
5469
MA
Other
Enumeration date
04/20/2020
Last updated
03/06/2023
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