Individual
DIEP PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5237 E 2ND ST, LONG BEACH, CA 90803-5326
(562) 433-1200
Mailing address
5237 E 2ND ST, LONG BEACH, CA 90803-5326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BU21851548
CA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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