Individual
KATHY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(571) 278-2241
Mailing address
7010 BRADDOCK MEWS PL, SPRINGFIELD, VA 22151-3523
(703) 256-4739
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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