Individual
MRS. VAN HONG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3400
(916) 733-5940
Mailing address
PO BOX 690854, STOCKTON, CA 95269
(209) 954-6114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA180600
BLUE SHIELD
CA
05
—
0PA180600
—
CA
Enumeration date
05/16/2006
Last updated
12/31/2012
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