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Individual

ANNIE NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(510) 879-9200
Mailing address
1419 BURLINGAME AVE STE P, BURLINGAME, CA 94010-4119

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95135090
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
138983
CA

Other

Enumeration date
08/19/2019
Last updated
02/02/2022
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