Individual
BRIAN NGHIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 LATROBE RD, EL DORADO HILLS, CA 95762-6704
(916) 934-0133
Mailing address
3136 BORGATA WAY, EL DORADO HILLS, CA 95762-5436
(916) 342-4856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77497
CA
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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