Individual
KRISTIE THUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-7850
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-7850
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
56622
CA
Other
Enumeration date
05/02/2012
Last updated
08/28/2014
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