Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | R9975 | MO |
NPI | 1366440190 |
---|---|
Provider Name | Thanh-Huong Thi Nguyen |
First Address | Saint Joseph, MO 64508-8095 |
Second Address | Saint Joseph, MO 64506-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 08/07/2007 |