PHONG KIEU

SANTA ANA, CA
NPI1295495737
Professional NameJASON KIEU
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95019542)
Enumeration Date2021-12-25
Last Update Date2021-12-25
Business Address
PHONG KIEU NP
202 W HARVEY AVE
SANTA ANA, CA 92707-4420
Phone number: 714-507-8008
Mailing Address
PHONG KIEU NP
202 W HARVEY AVE
SANTA ANA, CA 92707-4420
Phone number: