Individual
ANDREW NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
(951) 684-6500
Mailing address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1629487756
CA
Other
Enumeration date
08/02/2014
Last updated
12/01/2021
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