Individual
EVELYN LILLIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2192 MARTIN STE 110, IRVINE, CA 92612-1484
(949) 955-0072
(949) 955-0077
Mailing address
2192 MARTIN STE 110, IRVINE, CA 92612-1484
(949) 955-0072
(949) 955-0077
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16083
CA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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