NGOC-THU THI PHUNG

BROKEN ARROW, OK
NPI1649895020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OK  R0103714)
Enumeration Date2020-06-11
Last Update Date2020-06-24
Business Address
NGOC-THU THI PHUNG NP
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-254-5000
Mailing Address
NGOC-THU THI PHUNG NP
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 847-235-6130