Most Relevant Information
Provider Data
| NPI Number: | 1003545500 |
| Provider Name: | CASSIDY MINHHANH NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2022 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
4132 BELVEDERE ST
IRVINE
CA
926042213
Practice Location Phone/Fax
| Phone: | 9499239353 |
| Fax: |
Provider Mailing Location
4132 BELVEDERE ST
IRVINE
CA
926042213
Provider Mailing Phone/Fax
| Phone: | 9499239353 |
| Fax: |