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Individual

DR. AMY NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
3060 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4648
(703) 672-1919
Mailing address
3060 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4648
(703) 672-1919

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104557389
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104557389
CHIROPRACTIC LICENSE
VA
Enumeration date
05/31/2017
Last updated
02/06/2025
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