Individual
LOUIE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-3961
Mailing address
1132 SEA BLUFF DR, COSTA MESA, CA 92627-4068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
62172
CA
1835P1300X
Psychiatric Pharmacist
Primary
62172
CA
Other
Enumeration date
05/17/2016
Last updated
05/18/2016
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