Individual
ANH TUYET NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
211 E 17TH ST, COSTA MESA, CA 92627-3831
(949) 646-4960
Mailing address
21042 BARCLAY LN, LAKE FOREST, CA 92630-5871
(949) 235-4057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53124
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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