Provider Demographics
NPI:1346966223
Name:SENG, MAI THI TUYET (LVN)
Entity Type:Individual
Prefix:
First Name:MAI
Middle Name:THI TUYET
Last Name:SENG
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10836 VIA SAN BLAS
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2704
Mailing Address - Country:US
Mailing Address - Phone:619-405-5625
Mailing Address - Fax:
Practice Address - Street 1:12515 SPRINGHURST DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-6305
Practice Address - Country:US
Practice Address - Phone:858-391-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN698288164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse