Provider Demographics
NPI:1275915423
Name:NGUYEN, JAMES DANG
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11906 SE 240TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-5015
Mailing Address - Country:US
Mailing Address - Phone:408-677-8293
Mailing Address - Fax:
Practice Address - Street 1:11906 SE 240TH PL
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-5015
Practice Address - Country:US
Practice Address - Phone:408-677-8293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide