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Individual

KHANH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
377 S GLASSELL ST STE 150, ORANGE, CA 92866-1904
(949) 705-4095
Mailing address
10841 SONOMA LN, GARDEN GROVE, CA 92843-1226
(714) 781-9563

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82783
CA

Other

Enumeration date
04/23/2021
Last updated
04/23/2021
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