Individual
MRS. CHRISTABELLA THANH-MAI NGUYEN-FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 995-3000
Mailing address
PO BOX 1422, RIPON, CA 95366-1422
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
95050775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95050775
BRN
CA
Enumeration date
06/24/2022
Last updated
06/27/2022
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