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Individual

THERESA THAO NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 CITY BLVD W STE 400, ORANGE, CA 92868-2994
(714) 456-7715
Mailing address
333 CITY BLVD W STE 400, ORANGE, CA 92868-2994
(714) 456-7715

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01
OTHER
CA
Enumeration date
10/07/2017
Last updated
03/17/2018
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