Individual
MISS KELLY LY DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
9862 CHAPMAN AVE., SUITE B, GARDEN GROVE, CA 92841
(714) 620-7070
Mailing address
9862 CHAPMAN AVE, GARDEN GROVE, CA 92841-2726
(714) 620-7070
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95137856
CA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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