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MIMI CAO-PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7500 HANOVER PKWY STE 204&205, GREENBELT, MD 20770-2010
(301) 232-3638
Mailing address
13011 INNISBROOK DR, BELTSVILLE, MD 20705-1195
(301) 466-5072

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C0008351
MD
363A00000X
Physician Assistant
Primary
C0008351
MD

Other

Enumeration date
02/07/2022
Last updated
02/11/2022
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