Individual
BRANDON NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
41347 WHITECREST CT, FREMONT, CA 94539-4529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60254
CA
Other
Enumeration date
10/12/2021
Last updated
12/11/2021
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