Individual
MADELINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1900 T ST, SACRAMENTO, CA 95811-6822
(530) 749-3242
(530) 749-3248
Mailing address
1114 YUBA ST RM 144, MARYSVILLE, CA 95901-4838
(530) 749-3242
(530) 749-3248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A15108
CA
207QA0505X
Adult Medicine Physician
Primary
20A15108
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
09/17/2018
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