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Individual

JASMINE PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4812
(126) 725-2906
Mailing address
1109 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4812
(126) 725-2906

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024475
PA

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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