Individual
HENRY NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6116 MEDAU PL, OAKLAND, CA 94611-2809
(510) 339-2116
Mailing address
1534 21ST AVE, OAKLAND, CA 94606-4942
(510) 919-3940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11153
CA
Other
Enumeration date
03/05/2018
Last updated
01/03/2022
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