Individual
MISS TRUC NHU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
4057 BRANT ST., APT. #4, SAN DIEGO, CA 92103-1991
(858) 204-2071
Mailing address
4057 BRANT ST., APT. #4, SAN DIEGO, CA 92103-1991
(858) 204-2071
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
185
CA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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