Individual
AMELIA GRACE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
409 7TH ST, MANHATTAN BEACH, CA 90266-5615
(949) 836-1331
Mailing address
409 7TH ST, MANHATTAN BEACH, CA 90266-5615
(949) 836-1331
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
95407188
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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