Individual
LONG VAN HAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4033 TALBOT RD S, STE 570, RENTON, WA 98055-5772
(425) 656-5400
(425) 656-5079
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-5565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60239793
WA
Other
Enumeration date
07/15/2009
Last updated
08/27/2013
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