Individual
JERRY HONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9479 N FORT WASHINGTON RD STE 103, FRESNO, CA 93730-5939
(559) 289-4574
Mailing address
7952 CARLYLE DR, RIVERSIDE, CA 92509-6131
(951) 756-0548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002433
CA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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