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Individual

DAT TIEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
268 LEWELLING BLVD, SAN LORENZO, CA 94580
(916) 628-0851
Mailing address
268 LEWELLING BLVD, SAN LORENZO, CA 94580
(916) 628-0851

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95414941
CA

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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