Individual
BRENDA H.T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(408) 464-7654
Mailing address
PO BOX 579591, MODESTO, CA 95357-9591
(408) 464-7654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56460
CA
Other
Enumeration date
01/24/2019
Last updated
06/11/2021
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