Individual
LIEN CHAU THUY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 N GATE RD, SEAL BEACH, CA 90740-2535
(714) 651-9226
Mailing address
9632 CERRITOS AVE, ANAHEIM, CA 92804-5904
(714) 949-9898
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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