Individual
MR. KHOA DANG NGUYEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
21851 84TH AVE S STE 101, KENT, WA 98032-1958
(425) 947-2462
Mailing address
5106 S GARDEN LOOP RD, SEATTLE, WA 98118-5700
(360) 918-2968
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP.60861815
WA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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