KATHLENE MANIMTIM NGUYEN

FONTANA, CA
NPI1699415620
Former NameKATHLENE VILLEGAS MANIMTIM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95020377)
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
KATHLENE MANIMTIM NGUYEN
7159 MYRTLE PL
FONTANA, CA 92336-5706
Phone number: 619-415-9181
Mailing Address
KATHLENE MANIMTIM NGUYEN
7159 MYRTLE PL
FONTANA, CA 92336-5706
Phone number: 619-415-9181
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