Individual
KRISTINE DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18682 BEACH BLVD STE 130, HUNTINGTON BEACH, CA 92648-2094
(714) 963-6600
Mailing address
14611 SAIL ST, GARDEN GROVE, CA 92843-5128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52762
CA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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