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Individual

BRYAN TRUNG PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
78218 VARNER RD, PALM DESERT, CA 92211-4134
(760) 200-4382
(760) 772-0290
Mailing address
78218 VARNER RD, PALM DESERT, CA 92211-4134

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70261
CA

Other

Enumeration date
03/21/2014
Last updated
08/12/2022
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