Individual
DR. BAO QUANG NGUYEN PHUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
536 EL CAMINO REAL, REDWOOD CITY, CA 94063-1212
(650) 995-7243
(650) 995-7595
Mailing address
3363 DA VINCI CT, SAN JOSE, CA 95148-4318
(408) 421-0701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34789
CA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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