Individual
AMY HOAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15331 BASELINE AVE, FONTANA, CA 92336-5773
(909) 574-2831
Mailing address
7809 E TEAL LN, ORANGE, CA 92869-6547
(714) 363-7607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76404
CA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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