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Individual
TAM-THAO THI PHAM
Active
Individual
TAM-THAO THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP20608
CA
363LF0000X
Family Nurse Practitioner
NP 20608
CA
Other
Enumeration date
12/09/2011
Last updated
02/23/2012
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