NICHOLAS TIEU

LEWISTON, ID
NPI1295206134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA1712)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OH  50.005767RX)
Enumeration Date2018-12-17
Last Update Date2019-02-08
Business Address
Mr. NICHOLAS TIEU PA-C
415 6TH ST
LEWISTON, ID 83501-2434
Phone number: 208-743-2511
Mailing Address
Mr. NICHOLAS TIEU PA-C
3233 COLONY HILL LN
COLUMBUS, OH 43204-2183
Phone number: 847-508-2847