Individual
SHAWN HUY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
(714) 999-6596
Mailing address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
(714) 999-6596
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
48154
CA
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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