Individual
DIANA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 FIRESTONE BLVD, DOWNEY, CA 90241-4229
(562) 904-4848
Mailing address
8008 FIRESTONE BLVD, DOWNEY, CA 90241-4229
(562) 904-4848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60113
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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