Individual
MRS. THAO THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00777389
CA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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