Individual
MISS KRISTINE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800B HIGHWAY 365, PORT ARTHUR, TX 77642-7403
(409) 722-1369
Mailing address
4800B HIGHWAY 365, PORT ARTHUR, TX 77642-7403
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
235906
TX
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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