Individual
LOAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CEDAR RIDGE RD, BECKLEY, WV 25801-2753
(304) 222-0015
Mailing address
13 CEDAR RIDGE RD, BECKLEY, WV 25801-2753
(304) 222-0015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
07/07/2026
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