Individual
CHRISTY THUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1450 BESSIE AVE STE B, TRACY, CA 95376-3456
(209) 597-3090
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41812
CA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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