Individual
MR. LONG HOANG NGUYEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1456 S KING RD, SAN JOSE, CA 95122-2151
(408) 315-8265
Mailing address
1456 S KING RD, SAN JOSE, CA 95122-2151
(408) 315-8265
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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