Individual
MAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8712 BLUE MAIDEN WAY, ELK GROVE, CA 95624-3807
(209) 568-8886
Mailing address
8712 BLUE MAIDEN WAY, ELK GROVE, CA 95624-3807
(209) 568-8886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6862
CA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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