Individual
SANDY PHUONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
22431 B160 ANTONIO PARKWAY, #527, RANCHO SANTA MARGARITA, CA 92688
(714) 986-0444
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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