Most Relevant Information
Provider Data
| NPI Number: | 1003572074 |
| Provider Name: | JONIE THI NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 246Z00000X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2021 |
| Last Updated: | 11/29/2021 |
Provider Practice Location
26207 MAPLE VALLEY BLACK DIAMOND RD SE STE D3
MAPLE VALLEY
WA
980388378
Practice Location Phone/Fax
| Phone: | 2533533337 |
| Fax: |
Provider Mailing Location
27018 237TH PL SE
MAPLE VALLEY
WA
980385041
Provider Mailing Phone/Fax
| Phone: | 2533533337 |
| Fax: |