Individual
PHUONG CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38201 W INDIAN SCHOOL RD, TONOPAH, AZ 85354-8671
(623) 474-5516
Mailing address
38201 W INDIAN SCHOOL RD, TONOPAH, AZ 85354-8671
(623) 474-5516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24521656
AZ
Other
Enumeration date
01/19/2023
Last updated
08/04/2023
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