Individual
BAO GIA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
809 BAY AVE, CAPITOLA, CA 95010-2136
(831) 475-1421
Mailing address
809 BAY AVE, CAPITOLA, CA 95010-2136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78282
CA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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