Individual
HUONG THU THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 986-6800
Mailing address
9863 KOFORD RD, OAKLAND, CA 94603-2013
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN740432
CA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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