LY THANH DUONG

RIVERSIDE, CA
NPI1497261614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95007415)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95007415)
Enumeration Date2017-12-26
Last Update Date2017-12-26
Business Address
LY THANH DUONG NP
3660 PARK SIERRA DR
RIVERSIDE, CA 92505-3081
Phone number: 951-637-2100
Mailing Address
LY THANH DUONG NP
855 E HOSPITALITY LN
SAN BERNARDINO, CA 92408-3596
Phone number: 909-885-0282