Individual
IVY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACUPUNCTURIST
Contact information
Practice address
1310 S MYRTLE AVE, MONROVIA, CA 91016-4151
(626) 740-7546
Mailing address
225 S IVY AVE # 2086, MONROVIA, CA 91016-2835
(626) 740-7546
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19782
CA
Other
Enumeration date
12/25/2023
Last updated
12/24/2024
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