Individual
KIMOANH THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12865 MAIN ST STE 105, GARDEN GROVE, CA 92840-8205
(800) 768-1977
(800) 768-1977
Mailing address
8052 CAMBRIA CIR, STANTON, CA 90680-8503
(714) 270-5284
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018074
CA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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