Individual
CHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(707) 465-1000
Mailing address
5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(707) 465-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A83714
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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