Individual
MS. DEBRA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
683168
CA
Other
Enumeration date
06/29/2016
Last updated
08/23/2022
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