Individual
MINH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7441 BARTLETT ST NE STE 1B, ALBUQUERQUE, NM 87109-5916
(505) 313-6732
Mailing address
1855 SMARTY JONES ST SE, ALBUQUERQUE, NM 87123-2398
(505) 313-6732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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