Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 9402 | WA |
Y | 213EG0000X | General Practice | 9402 | WA |
NPI | 1003908534 |
---|---|
Provider Name | Dr. Monglien T Nguyen |
First Address | Olympia, WA 98502-8509 |
Second Address | Olympia, WA 98502-8509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |