Individual
SHESHANNA NGUYEN PHUONG KHANH PHAN
Active
Individual
SHESHANNA NGUYEN PHUONG KHANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO2026-0085
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2023-1046
NM
Other
Enumeration date
04/05/2023
Last updated
07/29/2026
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