Individual
JOANNA LE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 761-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60527527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2043334
—
WA
Enumeration date
11/18/2014
Last updated
01/31/2017
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