Individual
ANTHONY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
11040 PLUM VIEW LN, YUCAIPA, CA 92399-9302
(909) 647-5085
Mailing address
11040 PLUM VIEW LN, YUCAIPA, CA 92399-9302
(909) 647-5085
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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