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Individual

DIEPHUNG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1214 N MARKET BLVD STE C, SACRAMENTO, CA 95834-2931
(916) 928-5731
Mailing address
1214 N MARKET BLVD STE C, SACRAMENTO, CA 95834-2931
(916) 928-5731

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
49682
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
49682
CA

Other

Enumeration date
04/05/2021
Last updated
04/05/2021
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