Individual
ALYSSA UYEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
16405 MAHOGANY ST, FOUNTAIN VALLEY, CA 92708-1927
(714) 230-9309
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH80658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105513664
DRIVER LICENSE
NV
Enumeration date
07/09/2018
Last updated
10/11/2024
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