Individual
JUDY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 LAIRD ST, SANTA ANA, CA 92706-1315
(909) 244-6165
Mailing address
2201 LAIRD ST, SANTA ANA, CA 92706-1315
(909) 244-6165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005254
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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