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Individual

JENNIFER NGOC ANH BUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
500 W SAN BERNARDINO RD STE A, COVINA, CA 91722-3797
(626) 966-1909
Mailing address
16228 PALOMINO MESA PL, SAN DIEGO, CA 92127-4446
(858) 408-5662

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54225
CA

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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