Individual
HOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
5100 QUAIL RUN RD APT 1028, RIVERSIDE, CA 92507-6095
(714) 702-7725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001874
CA
Other
Enumeration date
08/29/2022
Last updated
11/24/2022
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