Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OD60213875 | WA |
NPI | 1013213123 |
---|---|
Provider Name | Dr. Diana H. P. Nguyen |
First Address | Tacoma, WA 98409-7287 |
Second Address | Tacoma, WA 98409-7287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2011 |
Last Update Date | 07/02/2014 |