Provider Demographics
NPI:1699452003
Name:VUONG, TALENIA THY
Entity type:Individual
Prefix:
First Name:TALENIA
Middle Name:THY
Last Name:VUONG
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 1:325 INDIAN ROCK DAM RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9578
Mailing Address - Country:US
Mailing Address - Phone:717-495-6984
Mailing Address - Fax:
Practice Address - Street 1:2555 S QUEEN ST UNIT 11A
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4966
Practice Address - Country:US
Practice Address - Phone:717-495-6984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other