VIVIEN T THACH

FULLERTON, CA
NPI1427416841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95003756)
Enumeration Date2016-01-29
Last Update Date2022-02-01
Business Address
VIVIEN T THACH AGNP-C
501 S BROOKHURST RD
FULLERTON, CA 92833-3207
Phone number: 714-870-0717
Mailing Address
VIVIEN T THACH AGNP-C
9402 RUSSELL AVE
GARDEN GROVE, CA 92844-2327
Phone number:
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