Individual
KEVIN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 SE 8TH AVE STE 551, HILLSBORO, OR 97123-4218
(714) 725-1626
Mailing address
9025 MAZA CIR, FOUNTAIN VALLEY, CA 92708-2228
(714) 725-1626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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