Individual
MS. NGOC QUYEN VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 BOLSA AVE SPC 165, MIDWAY CITY, CA 92655-1241
(657) 203-1138
Mailing address
8200 BOLSA AVE SPC 165, MIDWAY CITY, CA 92655-1241
(657) 203-1138
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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