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Individual

BRIAN QUI VINH TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
52 DORE ST, SAN FRANCISCO, CA 94103-3828
(415) 861-0828
(415) 861-0140
Mailing address
3111 EL PORTAL, ALAMEDA, CA 94502-6813
(415) 216-5950

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN279623
CA

Other

Enumeration date
07/30/2017
Last updated
01/16/2020
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