Individual
MAI PHUONG THUY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10356 DONNER PASS ROAD, TRUCKEE, CA 96162
(530) 587-5877
(530) 587-5877
Mailing address
PO BOX 10047, TRUCKEE, CA 96162
(530) 587-5877
(530) 582-6896
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G070301
CA
2084P0800X
Psychiatry Physician
G070301
CA
Other
Enumeration date
05/18/2007
Last updated
12/28/2007
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