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Individual
THUY TIEN PHAM
Active
Individual
THUY TIEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95211005
CA
363LF0000X
Family Nurse Practitioner
Primary
95024031
CA
Other
Enumeration date
07/13/2020
Last updated
10/03/2023
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