Individual
CINDY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2500 BATES AVE, CONCORD, CA 94520-1208
(925) 378-1036
Mailing address
2500 BATES AVE, CONCORD, CA 94520-1208
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95167570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1880769
DRIVER'S LICENSE
CA
Enumeration date
12/14/2021
Last updated
12/14/2021
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