Individual
CHRISTINE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8721 HAZARD AVE, WESTMINSTER, CA 92683-4681
(714) 902-5629
Mailing address
8721 HAZARD AVE, WESTMINSTER, CA 92683-4681
(714) 902-5629
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
722658
CA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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