Individual
TIEN THI KIM DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7631 WYOMING ST, WESTMINSTER, CA 92683-3904
(714) 379-0199
Mailing address
15612 WILSON ST, MIDWAY CITY, CA 92655-1647
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009402
CA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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