Individual
NANCY NANHWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 STRAWBERRY LN, MILPITAS, CA 95035-5014
(510) 331-8723
Mailing address
1774 STRAWBERRY LN, MILPITAS, CA 95035-5014
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN241562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9876543210
—
CA
Enumeration date
03/05/2015
Last updated
03/05/2015
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