Individual
VICTORIA HUYNH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 RENZ LN, GILROY, CA 95020-9584
(408) 847-1739
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95013129
CA
367A00000X
Advanced Practice Midwife
Primary
236079
CA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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