Individual
VIVIAN H NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11784L FAIR OAKS MALL, FAIRFAX, VA 22033-3308
(703) 591-9377
Mailing address
9820 BOLTON VILLAGE CT, FAIRFAX, VA 22032-1147
(571) 338-0263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001480
VA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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