Individual
MRS. MAI THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
00104781
CA
376K00000X
Nurse's Aide
Primary
00372880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074-38-7824-A
MEDICARE CLAIM NUMBER
CA
Enumeration date
11/09/2010
Last updated
11/09/2010
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