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Individual

MS. HONGAN BUI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8170 LAGUNA BLVD, SUITE 215, ELK GROVE, CA 95758-7901
(916) 691-5900
(916) 691-6747
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
775204
CA
363L00000X
Nurse Practitioner
Primary
21854
CA

Other

Enumeration date
05/03/2013
Last updated
07/17/2015
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