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Individual

ALISE KATHLEEN PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
838 NORDAHL RD STE 200, SAN MARCOS, CA 92069-3595
(760) 281-3662
Mailing address
838 NORDAHL RD STE 200, SAN MARCOS, CA 92069-3595
(760) 281-3662

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A18259
CA

Other

Enumeration date
04/25/2015
Last updated
05/03/2024
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