Individual
KAITLYN KIEU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(858) 717-4952
Mailing address
7459 CANYON BREEZE DR, SAN DIEGO, CA 92126-2088
(858) 717-4952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018785
CA
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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