Individual
KATHERINE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7194
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9660915
FL
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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