THAO LE THANH NGUYEN

STOCKTON, CA
NPI1477816544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A13312)
Enumeration Date2012-06-22
Last Update Date2023-09-08
Business Address
THAO LE THANH NGUYEN D.O.
3132 W MARCH LN STE 5
STOCKTON, CA 95219-2354
Phone number: 209-475-5500
Mailing Address
THAO LE THANH NGUYEN D.O.
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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