Individual
AMY QUYNHPHI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5575 RUFFIN RD STE 100, SAN DIEGO, CA 92123-1361
(858) 277-2744
Mailing address
4852 CLAIREMONT DR, SAN DIEGO, CA 92117-2705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019164
CA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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