ETHAN D NGUYEN

AVONDALE, AZ
NPI1821587346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  F09190130)
Enumeration Date2018-05-10
Last Update Date2020-10-21
Business Address
Mr. ETHAN D NGUYEN NP-C
13065 W MCDOWELL RD STE A105
AVONDALE, AZ 85392-6440
Phone number: 623-536-6788
Mailing Address
Mr. ETHAN D NGUYEN NP-C
13065 W MCDOWELL RD STE A105
AVONDALE, AZ 85392-6440
Phone number: 623-536-6788