Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 894 | VA |
NPI | 1083715395 |
---|---|
Provider Name | Mrs. Nghia Thi Nguyen |
First Address | Falls Church, VA 22041-2900 |
Second Address | Falls Church, VA 22041-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |