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Individual

DR. KIEU LOAN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3210 N TENAYA WAY, LAS VEGAS, NV 89129-6239
(702) 396-7840
Mailing address
3210 N TENAYA WAY, LAS VEGAS, NV 89129-6239
(702) 396-7840

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20408
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20408
STATE LICENSE
NV
Enumeration date
12/02/2020
Last updated
12/02/2020
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