Individual
JASMINE QUYNH DIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12755 BROOKHURST ST STE 116, GARDEN GROVE, CA 92840-4855
(714) 638-8277
Mailing address
9543 EL REY AVE APT 19, FOUNTAIN VALLEY, CA 92708-4642
(714) 235-5209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
D3869767
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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