Individual
JACQUELINE KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3273 CLAREMONT WAY STE 100, NAPA, CA 94558
(707) 254-7117
(707) 265-6435
Mailing address
3273 CLAREMONT WAY, STE 100, NAPA, CA 94558-3328
(310) 702-2084
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
56195
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A128602
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2012
Last updated
08/21/2018
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