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Individual

ANH KHIEU-HOANG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
317 NEW LONDON CMN, SANTA ANA, CA 92704-1257
(714) 795-7153
Mailing address
317 NEW LONDON CMN, SANTA ANA, CA 92704
(714) 795-7153

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74248
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74248
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
02/23/2016
Last updated
02/23/2016
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