RICKY NGUYEN PHAN

GARDEN GROVE, CA
NPI1740700350
Former NameNGUYEN HONG PHAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95006779)
Enumeration Date2017-06-24
Last Update Date2017-11-29
Business Address
RICKY NGUYEN PHAN ACNP
13591 BOWEN ST
GARDEN GROVE, CA 92843-3223
Phone number: 714-261-7813
Mailing Address
RICKY NGUYEN PHAN ACNP
13591 BOWEN ST
GARDEN GROVE, CA 92843-3223
Phone number: 714-261-7813
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