Individual
MS. TUYET BACH PHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
2400 CARNEGIE LN, #2, REDONDO BEACH, CA 90278-3811
(310) 377-1543
(310) 377-0380
Mailing address
2400 CARNEGIE LN, REDONDO BEACH, CA 90278-3811
(310) 377-1543
(310) 377-0380
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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