Individual
JACQUELINE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 LENA PL, WAHIAWA, HI 96786-2835
(714) 600-9618
Mailing address
13272 YOCKEY ST APT R, GARDEN GROVE, CA 92844-2077
(714) 600-9618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
5919
HI
Other
Enumeration date
05/07/2022
Last updated
10/29/2024
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