Individual
EMMA T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 287-6200
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/28/2019
Last updated
08/31/2021
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