Individual
PRISCILLA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17122 BEACH BLVD STE 104, HUNTINGTON BEACH, CA 92647-5992
(714) 964-4448
Mailing address
14182 LAKE ST, GARDEN GROVE, CA 92843-4809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49310
CA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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