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Individual
MRS. IRENE REYES ESTEVES PHAM
Active
Individual
MRS. IRENE REYES ESTEVES PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MPH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
124Q00000X
Dental Hygienist
25383
CA
Other
Enumeration date
05/22/2014
Last updated
08/31/2017
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