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Individual

PHUONG PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4307 BIRDSEYE WAY, ELK GROVE, CA 95758-6045
(916) 424-3128
Mailing address
4307 BIRDSEYE WAY, ELK GROVE, CA 95758-6045
(916) 424-3128

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
F3268876
CA

Other

Enumeration date
05/13/2015
Last updated
05/13/2015
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