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Individual
HOA D NGUYEN
Active
Individual
HOA D NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407163967
—
CA
01
—
7752910001
MEDICARE PTAN NUMBER
CA
Enumeration date
06/06/2011
Last updated
02/22/2022
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