Doctor Name: | DEBBIE MAI NGUYEN |
NPI Number: | 1003220955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | IR60290120 |
Business Practice Address: | 23003 Pacific Hwy S Des Moines, WA - 981987269 |
Business Phone Number: | 2068701832 |
Business Fax Number: | |
Mailing Address: | 12932 Se Kent Kangley Rd, 236 KENT |
State: | WA |
Postal Code: | 980307940 |
Phone Number: | 2067347199 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2014 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | IR60290120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |