Individual
KAITLYN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 PACIFIC AVE STE 290, LONG BEACH, CA 90806-2631
(562) 595-9799
Mailing address
13171 WESTLAKE ST APT C, GARDEN GROVE, CA 92843-2499
(714) 902-4380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53696
CA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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