Individual
CALVIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51101 HARRISON ST, COACHELLA, CA 92236-1560
(760) 398-0833
Mailing address
113 HOMECOMING, IRVINE, CA 92602-1808
(562) 298-8912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78168
CA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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