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Individual
MR. HUAN PHU PHAM
Active
Individual
MR. HUAN PHU PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
—
—
1710I1003X
Independent Duty Medical Technicians
—
—
171WH0202X
Home Modifications Contractor
—
—
174400000X
Specialist
—
—
1744R1103X
Research Study Abstracter/Coder
Primary
—
—
177F00000X
Lodging Provider
—
—
251X00000X
Supports Brokerage Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
305S00000X
Point of Service
—
—
331L00000X
Blood Bank
—
—
342000000X
Transportation Network Company
—
—
344800000X
Air Carrier
—
—
347C00000X
Private Vehicle
—
—
347D00000X
Train
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93638370A18274
—
CA
Enumeration date
10/10/2022
Last updated
10/10/2022
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