Individual provider · NPI-1

Hien Thu Bach, LVN

Registered Nurse · San Jose, CA

NPI number1457876740
StatusActive
Last updated in NPPESOct 27, 2017

Details

NPI
1457876740
Entity type
Individual (NPI-1)
Name
Mrs. Hien Thu Bach
Credential
LVN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 8, 2017
Last updated
Oct 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse95140270CAYes
164X00000X Licensed Vocational Nurse283958CA

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Phone 408-261-7777 · Fax 408-259-2273

Mailing address

2666 Bon Bon Dr
San Jose, CA 95148-2006

Phone 408-709-7063

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