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Individual
CAROLINE CHAU QUACH
Active
Individual
CAROLINE CHAU QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8503905-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356922405
—
UT
Enumeration date
04/20/2021
Last updated
05/06/2024
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