Individual
AMY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(408) 714-9745
Mailing address
2087 HURAN DR, SAN JOSE, CA 95122-1724
(408) 714-9745
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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