LARRY LUAN THANH NGUYEN

SAN JOSE, CA
NPI1548682008
Former NameLUAN THANH NGUYEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  3410)
Enumeration Date2014-01-16
Last Update Date2014-01-16
Business Address
-- LARRY LUAN THANH NGUYEN PTA
1807 SEVILLE WAY
SAN JOSE, CA 95131-2760
Phone number: 408-802-8015
Mailing Address
-- LARRY LUAN THANH NGUYEN PTA
1807 SEVILLE WAY
SAN JOSE, CA 95131-2760
Phone number: 408-802-8015
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