Individual
TIMOTHY KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 FULL MOON, IRVINE, CA 92618-8806
(714) 496-5976
Mailing address
134 FULL MOON, IRVINE, CA 92618-8806
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95034022
CA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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