Individual
CHRISTINE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13697 LOWELL ST, EASTVALE, CA 92880-3744
(626) 329-9467
Mailing address
13697 LOWELL ST, EASTVALE, CA 92880-3744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17707
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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