Individual
AMANDA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
15771 EXETER ST, WESTMINSTER, CA 92683-7512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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