Individual
GIA HAN NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 W COVINA BLVD STE 105106, SAN DIMAS, CA 91773-3200
(626) 963-7675
Mailing address
228 W POMONA AVE UNIT 207, MONROVIA, CA 91016-4829
(503) 702-3128
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95019533
CA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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