Individual
AIVAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
19112 GRIDLEY RD, CERRITOS, CA 90703-6613
(310) 722-0972
Mailing address
17229 PARKVALLE AVE, CERRITOS, CA 90703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98523
CA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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