Provider Demographics
NPI:1689444036
Name:NGUYEN, VILAKANE SEALING
Entity Type:Individual
Prefix:
First Name:VILAKANE
Middle Name:SEALING
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 1:4106 GREEN CLOVER DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2247
Mailing Address - Country:US
Mailing Address - Phone:614-869-9056
Mailing Address - Fax:
Practice Address - Street 1:4106 GREEN CLOVER DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2247
Practice Address - Country:US
Practice Address - Phone:614-869-9056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator