Individual
VANNESSA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
802 MAGNOLIA AVE STE 208, CORONA, CA 92879-3157
(951) 736-1630
(951) 736-8964
Mailing address
5555 GARDEN GROVE BLVD STE 200, WESTMINSTER, CA 92683-8234
(714) 859-5732
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8404
CA
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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