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Individual

TRAM PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8655 HAVEN AVE STE 200, RANCHO CUCAMONGA, CA 91730-4891
(800) 642-5031
Mailing address
11551 CALDY AVE, LOMA LINDA, CA 92354-6703
(909) 289-4995

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10346
CA

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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