Individual
NAMPHUONG HOANG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 MAPLE DR, MOUNTAIN VIEW, AR 72560-8999
(870) 269-2110
Mailing address
12262 TAMS DR, BATON ROUGE, LA 70815-2655
(225) 272-3637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA 2438
AR
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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