Individual
MISS EDLYN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17050 ARNOLD DR, RIVERSIDE, CA 92518-2855
(951) 697-2205
Mailing address
6520 STREETER AVE, RIVERSIDE, CA 92504-1682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11318
CA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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