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Individual

MRS. ANTOINETTE MARIE NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 578-1211
Mailing address
135 SATURN CT, PITTSBURG, CA 94565-7918

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
689210
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95000839
CA

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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