Individual
ANTHONY V NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E STATE BLVD RM 249, FORT WAYNE, IN 46805-4728
(260) 426-5431
(260) 460-1481
Mailing address
2500 E STATE BLVD RM 249, FORT WAYNE, IN 46805-4728
(260) 426-5431
(260) 460-1481
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99126188A
IN
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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