Provider Demographics
NPI:1356192587
Name:HO, NGOC HUONG HELEN
Entity type:Individual
Prefix:
First Name:NGOC HUONG HELEN
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 GREENWAY TRL
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5589
Mailing Address - Country:US
Mailing Address - Phone:850-892-8015
Mailing Address - Fax:850-892-8457
Practice Address - Street 1:361 GREENWAY TRL
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5589
Practice Address - Country:US
Practice Address - Phone:850-892-8015
Practice Address - Fax:850-892-8457
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program