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Individual

TIFFANY NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3750 CONVOY ST STE 201, SAN DIEGO, CA 92111-3770
(858) 278-8300
Mailing address
3524 PATRITTI AVE, BALDWIN PARK, CA 91706-3510
(323) 557-7619

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA58328
CA

Other

Enumeration date
11/11/2019
Last updated
12/21/2020
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