Individual
THIEN XUAN NGHIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 INDEPENDENCE AVE, KANSAS CITY, MO 64106-1453
(816) 654-7000
Mailing address
721 N 7TH ST, SAN JOSE, CA 95112-5058
(626) 646-9760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94750849C
—
CA
Enumeration date
02/27/2023
Last updated
02/27/2023
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