Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | IN PROCESS | CT |
NPI | 1154517365 |
---|---|
Provider Name | Khoa Nguyen |
First Address | Springfield, VA 22150-2449 |
Second Address | Falls Church, VA 22042-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2007 |
Last Update Date | 20/09/2007 |