Healthcare Provider Details
I. General information
NPI: 1770872954
Provider Name (Legal Business Name): RHODO NGUYEN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/28/2011
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5840 MACARTHUR BLVD NW SUITE 2
WASHINGTON DC
20016-2542
US
IV. Provider business mailing address
5840 MACARTHUR BLVD NW SUITE 2
WASHINGTON DC
20016-2542
US
V. Phone/Fax
- Phone: 202-966-2563
- Fax: 888-836-6323
- Phone: 202-966-2563
- Fax: 888-836-6323
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NP-0016 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: