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Organization

DON PHAM, CORPORATION

Active
Other names
EVERGREEN INTEGRATED WELLNESS CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANDERS (CTO)
(805) 646-9355
Entity
Organization

Contact information

Practice address
302 N MONTGOMERY ST, OJAI, CA 93023-2746
(805) 646-9355
Mailing address
302 N MONTGOMERY ST, OJAI, CA 93023-2746
(805) 646-9355

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261QP2000X
Physical Therapy Clinic/Center
261QP3300X
Pain Clinic/Center

Other

Enumeration date
06/15/2023
Last updated
07/07/2023
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