Individual
LAN KIM HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Mailing address
22 BRIGHTON CT, DALY CITY, CA 94015-2848
(415) 632-6036
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
826063
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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