AUTUMN NGUYEN

LIVONIA, MI
NPI1003199910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA055123)
Enumeration Date2011-09-27
Last Update Date2020-02-17
Business Address
Ms. AUTUMN NGUYEN PAC
38935 ANN ARBOR RD CREDENTIALING/PAYER ENROLLMENT DEPT
LIVONIA, MI 48150-3397
Phone number: 734-632-0175
Mailing Address
Ms. AUTUMN NGUYEN PAC
601 PARK ST EMERGENCY DEPARTMENT
HONESDALE, PA 18431-1445
Phone number: 570-253-8140
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