Individual
ANH TUYET NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5110
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 885-5110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
03/30/2023
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