Individual
AMANDA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AMANDA NGUYEN MSC 09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
(505) 272-6607
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A22976
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/26/2021
Last updated
06/29/2024
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