Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 0007110 | CO |
Y | 111NP0017X | Pediatric Chiropractor | 0007110 | CO |
NPI | 1851717839 |
---|---|
Provider Name | Dr. Victoria Tieu-Ngoc Nguyen |
First Address | Denver, CO 80238-3571 |
Second Address | Centennial, CO 80112-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2014 |
Last Update Date | 18/11/2015 |