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Individual

NGA THI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25000 AVENUE STANFORD STE 167, VALENCIA, CA 91355-4596
(818) 600-2034
Mailing address
2027 JUNIPER LN, COLTON, CA 92324-1827
(714) 383-0014

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012267
CA

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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