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Individual

KATHERINE NGUYEN-CLUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E HUNTINGTON DR STE 209, ALHAMBRA, CA 91801-1022
(323) 264-7796
Mailing address
8461 ENTREKEN PL, SAN DIEGO, CA 92129-2341
(858) 382-8720

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025397
CA

Other

Enumeration date
01/04/2024
Last updated
01/11/2024
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