| NPI | 1003527789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE NGUYEN Owner 346-220-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-04-01 |