Individual
MRS. DOMINIQUE TREVIZO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8826
(323) 226-8820
Mailing address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8826
(323) 226-8820
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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