Individual
JENNIFER T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E MERCED AVE STE E, WEST COVINA, CA 91790-5058
(626) 664-2570
Mailing address
15886 DUBESOR ST., LA PUENTE, CA 91744-1218
(626) 664-2570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6610
CA
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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