THAO THI PHUONG GIANG

ELK GROVE, CA
NPI1831615442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95007140)
Enumeration Date2017-08-15
Last Update Date2019-11-04
Business Address
THAO THI PHUONG GIANG FNP-C
4810 ELK GROVE BLVD
ELK GROVE, CA 95758-4186
Phone number: 800-972-5547
Mailing Address
THAO THI PHUONG GIANG FNP-C
11611 VICILIA ST
GARDEN GROVE, CA 92841-1945
Phone number: 714-360-5751