Individual
DR. VYVY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EDWARDS FERRY RD NE, LEESBURG, VA 20176
(703) 443-0808
Mailing address
43198 HALKETT SQ, ASHBURN, VA 20148-6659
(484) 505-6019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001841
VA
Other
Enumeration date
06/30/2009
Last updated
11/08/2019
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