Most Relevant Information
Provider Data
| NPI Number: | 1003336389 |
| Provider Name: | KIEUTRAM NGUYEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 738534 |
Most Important Dates
| Enumeration Date: | 06/27/2017 |
| Last Updated: | 06/27/2017 |
Provider Practice Location
800 N 1ST ST
SAN JOSE
CA
951126312
Practice Location Phone/Fax
| Phone: | 4082990462 |
| Fax: |
Provider Mailing Location
800 N 1ST ST
SAN JOSE
CA
951126312
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |