Individual
MARY Q TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 N GARFIELD AVE, SUITE 102, MONTEREY PARK, CA 91754-1242
(626) 288-0488
Mailing address
500 N GARFIELD AVE, SUITE 102, MONTEREY PARK, CA 91754-1242
(626) 288-0488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22173
STATE LICENSE
CA
Enumeration date
01/09/2013
Last updated
01/09/2013
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