TONG THANH NGUYEN

WHITE CITY, OR
NPI1295428316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: CA  CP004537)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
Mr. TONG THANH NGUYEN CP
8495 CRATER LAKE HWY STOP 117B209
WHITE CITY, OR 97503-3011
Phone number: 561-826-2111
Mailing Address
Mr. TONG THANH NGUYEN CP
157 S KEENE WAY DR
MEDFORD, OR 97504-7509
Phone number: 619-726-5049