Individual
SALLY THANHTHANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1500
(408) 494-1557
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1500
(408) 494-1557
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
850359
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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