Individual
DR. JIMMY QUOC NAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74955 US HIGHWAY 111, INDIAN WELLS, CA 92210-7136
(760) 346-4464
Mailing address
74955 US HIGHWAY 111, INDIAN WELLS, CA 92210-7136
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
80274
CA
Other
Enumeration date
08/19/2019
Last updated
08/02/2023
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