Individual
MIKE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
(916) 452-3981
Mailing address
8280 GENEVA POINTE DR APT 216, ELK GROVE, CA 95624-3468
(916) 620-4489
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
04/22/2025
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