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Individual

JESSICA NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21051 SHERMAN WAY, CANOGA PARK, CA 91303-1746
(818) 348-6222
Mailing address
19108 LANARK ST, RESEDA, CA 91335-1118
(818) 428-0584

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
80454
CA

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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