Joe Nguyen, scalp micropigmentat
Specialist, Prosthetics Case Management in San Leandro, CA. Individual provider (NPI-1).
NPI number1063979136
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1063979136
- Entity type
- Individual (NPI-1)
- Name
- Joe Nguyen
- Credential
- scalp micropigmentat
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | Yes |
Practice location
1515 Aurora Dr Ste 102bSan Leandro, CA 94577-3105
Phone 510-258-9543
Mailing address
1515 Aurora Dr Ste 102bSan Leandro, CA 94577-3105
Phone 510-258-9543
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