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Individual

MRS. KIEUANH T PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
20012 N 35TH AVE, GLENDALE, AZ 85308-2204
(623) 445-4110
Mailing address
7734 W MCRAE WAY, GLENDALE, AZ 85308-5917
(623) 215-4804

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN129491
AZ

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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