Individual
ANGELA DIEMANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15180 KENSINGTON PARK DR, TUSTIN, CA 92782-1801
(714) 259-7625
Mailing address
15180 KENSINGTON PARK DR, TUSTIN, CA 92782-1801
(714) 259-7625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85144
CA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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