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NPI Code Detail

MEDICARE: ERIN YEN NGUYEN

MEDICARE: ERIN YEN NGUYEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist60439CA

General Provider Information

NPI Number : 1497039218
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN YEN NGUYEN
Provider Business Mailing Address
First Line : 610 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-2198
Country : US
Telephone Number : 559-431-1379
Fax Number :
Provider Business Practice Location Address
First Line : 610 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-2198
Country : US
Telephone Number : 559-431-1379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 09/29/2011

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Directions to “ ERIN YEN NGUYEN ” Practice Location

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