Individual
ANGELINA MAI HONG PHUOC VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17862 17TH ST STE 107, TUSTIN, CA 92780-2170
(714) 661-5390
Mailing address
17862 17TH ST STE 107, TUSTIN, CA 92780-2170
(714) 661-5390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118054
CA
Other
Enumeration date
09/12/2023
Last updated
09/29/2023
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