Individual
BAO-NGUYEN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1811 S SAN JACINTO AVE, SAN JACINTO, CA 92583-5605
(951) 487-6185
Mailing address
1811 S SAN JACINTO AVE, SAN JACINTO, CA 92583-5605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80561
CA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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