NPI | 1265232839 |
---|---|
Former Name | PHUOC HONG NHAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 354210) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354210) |
Enumeration Date | 2025-03-13 |
Last Update Date | 2025-03-13 |