Individual
HAN XUAN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
9353 VALLEY BLVD, ROSEMEAD, CA 91770-1934
(626) 287-2988
Mailing address
629 N MORRIS AVE, WEST COVINA, CA 91790-1417
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37436
CA
Other
Enumeration date
07/11/2014
Last updated
08/18/2014
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