Individual
HUYEN THI MONG MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 574-3316
Mailing address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 574-3316
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025176
CA
Other
Enumeration date
10/07/2021
Last updated
07/10/2023
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