Individual
JENNA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9353 VALLEY BLVD STE C, ROSEMEAD, CA 91770-1923
(626) 287-2988
Mailing address
12532 LORNA ST, GARDEN GROVE, CA 92841-4508
(714) 261-5823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2020
Last updated
09/07/2023
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