Individual
MIMI NGUYEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
12121 DITMORE DR, GARDEN GROVE, CA 92841-3333
(714) 837-2623
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95228293
CA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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