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Individual

MR. JEFFREY PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1775 E PALM CANYON DR, PALM SPRINGS, CA 92264-1613
(760) 627-9177
Mailing address
1775 E PALM CANYON DR STE 110, PALM SPRINGS, CA 92264-1623
(760) 627-9177

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
101084
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022483
CA

Other

Enumeration date
02/13/2023
Last updated
02/09/2026
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