Individual
MAILY TRUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(858) 764-3320
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 764-3320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000861
CA
363LG0600X
Gerontology Nurse Practitioner
95000861
CA
Other
Enumeration date
09/10/2014
Last updated
02/11/2025
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