Individual
JESSICA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 MARYSVILLE MALL, MARYSVILLE, WA 98270-5501
(360) 659-0492
Mailing address
6406 69TH DR NE, MARYSVILLE, WA 98270-6584
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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