Individual
DAT HOANGGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1290
(650) 493-5000
(999) 999-9999
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
5121
CA
Other
Enumeration date
03/18/2024
Last updated
04/01/2024
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