Individual
KIM THAO THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N 14TH ST, SUITE 550, SAN JOSE, CA 95112
(408) 294-3922
(408) 294-4657
Mailing address
25 N 14TH ST, SUITE 550, SAN JOSE, CA 95112
(408) 294-3922
(408) 294-4657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
225600000X
Dance Therapist
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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