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NPI Code Detail

MEDICARE: VINCENT NGUYEN

MEDICARE:   VINCENT  NGUYEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist71939CA

General Provider Information

NPI Number : 1770989337
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT NGUYEN
Provider Business Mailing Address
First Line : 610 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-2198
Country : US
Telephone Number : 559-431-1379
Fax Number :
Provider Business Practice Location Address
First Line : 610 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-2198
Country : US
Telephone Number : 559-431-1379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2014
Last Update Date : 11/10/2014

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Directions to “ VINCENT NGUYEN ” Practice Location

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