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Individual

CAROLINE MARIE THUY NHU DONG LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
255 E BONITA AVE BLDG 9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366
Mailing address
255 E BONITA AVE BLDG 9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CA
363AM0700X
Medical Physician Assistant
59469
CA
363AS0400X
Surgical Physician Assistant
59469
CA

Other

Enumeration date
11/21/2020
Last updated
04/21/2025
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