Individual
LOAN THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8179 SITA CT, SACRAMENTO, CA 95829
(916) 690-9119
Mailing address
8179 SITA CT, SACRAMENTO, CA 95829
(916) 690-9119
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21550
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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