Individual
MITCHELL BAOLONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 PITMAN AVE, GLENDALE, CA 91202-2816
(818) 633-6959
Mailing address
1007 PITMAN AVE, GLENDALE, CA 91202-2816
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
11/17/2021
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