Individual
MR. LY HAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8281 WOODED BROOK DR, ELK GROVE, CA 95758-8022
(916) 687-1171
(866) 571-3818
Mailing address
8281 WOODED BROOK DR, ELK GROVE, CA 95758-8022
(916) 687-1171
(866) 571-3818
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
11-00105968
CA
343900000X
Non-emergency Medical Transport (VAN)
12-00010225
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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