Provider Demographics
NPI:1649805730
Name:DUONG, EMMELINE (ND)
Entity type:Individual
Prefix:DR
First Name:EMMELINE
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8180 N HAYDEN RD STE D100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2464
Mailing Address - Country:US
Mailing Address - Phone:571-643-6483
Mailing Address - Fax:
Practice Address - Street 1:8180 N HAYDEN RD STE D100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2464
Practice Address - Country:US
Practice Address - Phone:571-643-6483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ201855175F00000X
CT000656175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath