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Individual

MRS. HIEN THU BACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
2666 BON BON DR, SAN JOSE, CA 95148-2006
(408) 709-7063

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95140270
CA
164X00000X
Licensed Vocational Nurse
283958
CA

Other

Enumeration date
08/08/2017
Last updated
10/27/2017
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