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Individual
MY PHUONG THI PHAN
Active
Individual
MY PHUONG THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785271
CA
363LF0000X
Family Nurse Practitioner
Primary
95008855
CA
363LP2300X
Primary Care Nurse Practitioner
95008855
CA
Other
Enumeration date
04/13/2018
Last updated
03/11/2024
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