Individual
MR. ANH TUAN NGUYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 918-2618
(408) 579-6143
Mailing address
76 MARIAN LN, SAN JOSE, CA 95127-2023
(408) 724-7877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
07/25/2016
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