Individual
KIRA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0618
Mailing address
2461 ARMOUR AVE APT 1, KINGMAN, AZ 86409-0730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016541
AZ
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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