Individual
DIANA LE BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11024 ACAMA ST APT 212, NORTH HOLLYWOOD, CA 91602-3042
(703) 862-6387
Mailing address
10509 CHANCERY CT, FAIRFAX, VA 22030-8108
(703) 862-6387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020633
CA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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