Individual
CHOUA LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 29TH ST STE B, SACRAMENTO, CA 95816-3288
(916) 446-6921
(916) 446-0640
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95035296
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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