Provider Demographics
NPI:1205669470
Name:VU, RHONDA NGUYEN
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:NGUYEN
Last Name:VU
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:NGUYEN
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:38513 FREMONT BLVD # A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6032
Mailing Address - Country:US
Mailing Address - Phone:408-551-9615
Mailing Address - Fax:
Practice Address - Street 1:38513 FREMONT BLVD # A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6032
Practice Address - Country:US
Practice Address - Phone:408-551-9615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA728946164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse