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Individual

ANDREW NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 MOORPARK AVE, SAN JOSE, CA 95128-2631
(408) 975-2730
Mailing address
2400 MOORPARK AVE, SAN JOSE, CA 95128-2631
(408) 975-2730

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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