Magnus Minh Thuc Phu To
Student in an Organized Health Care Education/Training Program in Riverside, CA. Individual provider (NPI-1).
NPI number1194353540
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1194353540
- Entity type
- Individual (NPI-1)
- Name
- Magnus Minh Thuc Phu To
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4445 Magnolia AveRiverside, CA 92501-4135
Phone 951-788-3274
Mailing address
4445 Magnolia AveRiverside, CA 92501-4135
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