Individual
ANNIE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4424 S 73RD STREET CT, TACOMA, WA 98409-1433
(253) 320-3327
Mailing address
4424 S 73RD STREET CT, TACOMA, WA 98409-1433
(253) 320-3327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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