Individual
MAI THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10171 NORTHAMPTON AVE, WESTMINSTER, CA 92683-7558
(714) 867-8074
Mailing address
9435 KIWI CIR, FOUNTAIN VALLEY, CA 92708-5748
(714) 867-8074
(714) 274-8902
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6016937740
CA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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