Individual
ANNIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S MOUNT VERNON AVE, COLTON, CA 92324-4220
(909) 783-0390
Mailing address
1120 S MOUNT VERNON AVE, COLTON, CA 92324-4220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75589
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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