Organization
NICOLE PHAM DPM PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PHAM DPM (CEO)
(925) 980-5577
Entity
Organization
Contact information
Practice address
1140 NORMAN DR STE 1, MANTECA, CA 95336-5900
(209) 823-2700
Mailing address
1140 NORMAN DR STE 1, MANTECA, CA 95336-5900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
11/05/2025
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