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Individual

PHUONG HOAI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2812 OLD LEE HWY STE 210A, FAIRFAX, VA 22031-4367
(703) 642-6633
Mailing address
2812 OLD LEE HWY STE 210A, FAIRFAX, VA 22031-4367
(703) 642-6633

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010452
VA

Other

Enumeration date
12/23/2024
Last updated
03/05/2025
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