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Individual

NGOC NICK THANH MAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2152 S JETTY DR, ANAHEIM, CA 92802-4915
(714) 699-9270
Mailing address
2152 S JETTY DR, ANAHEIM, CA 92802-4915
(714) 699-9270

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
171WH0202X
Home Modifications Contractor
172A00000X
Driver
1744G0900X
Graphics Designer
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251T00000X
PACE Provider Organization
251V00000X
Voluntary or Charitable Agency
310400000X
Assisted Living Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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