Individual
MRS. DOMINIQUE THUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R)(M) ARRT
Contact information
Practice address
2750 SYCAMORE DR, SIMI VALLEY, CA 93065-1502
(805) 955-8150
Mailing address
2836 JADESTONE AVE, SIMI VALLEY, CA 93063-2148
(805) 813-2463
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
RHM00085698
CA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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