Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 20A18758 | CA |
NPI | 1013408343 |
---|---|
Provider Name | Minhthao Thi Nguyen |
First Address | Sacramento, CA 95816-1116 |
Second Address | Sacramento, CA 95816-9581 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2018 |
Last Update Date | 20/09/2021 |