Individual
BILLY NGUYEN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 WASHINGTON AVE N, KENT, WA 98032-4438
(253) 373-0156
Mailing address
20510 121ST WAY SE, KENT, WA 98031-4187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61065802
WA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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