Individual
BAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6256 WELCH AVE, STOCKTON, CA 95210-5623
(209) 670-3857
Mailing address
6256 WELCH AVE, STOCKTON, CA 95210-5623
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
831401
CA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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