Individual
ANLANH-JENNIFER NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4988
(909) 579-6721
(909) 579-6737
Mailing address
27B LOS COYOTES DR, POMONA, CA 91766-4711
(909) 538-9052
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA65643
CA
Other
Enumeration date
06/26/2023
Last updated
05/22/2025
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