Individual
KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4841 BIRMINGHAM DR, SAN JOSE, CA 95136-2907
(408) 456-1237
Mailing address
4841 BIRMINGHAM DRIVE, SAN JOSE, CA 95136
(408) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1235467
CA
Other
Enumeration date
04/20/2016
Last updated
05/05/2017
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