Individual
NANCY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT IN PROGRAM
Contact information
Practice address
1410 NE CAMPUS PKWY, SEATTLE, WA 98195-0003
(206) 543-8736
(206) 543-3624
Mailing address
10817 CORNELL AVE S, SEATTLE, WA 98178-3110
(206) 349-5876
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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