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Individual

MS. ANNETTE VAN ANH PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
14445 OLIVE VIEW DR, ROOM 2B182, SYLMAR, CA 91342-1437
(818) 364-4568
(818) 364-3625
Mailing address
14445 OLIVE VIEW DR, ROOM 2B182, SYLMAR, CA 91342-1437
(818) 364-4569
(818) 364-3625

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
535887
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
12756
CA

Other

Enumeration date
09/20/2006
Last updated
07/12/2007
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