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Individual

DIANA THAO PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SCM

Contact information

Practice address
3075 HEALTH CENTER DR, SAN DIEGO, CA 92123-2773
(858) 939-5218
Mailing address
12903 STANDISH DR, POWAY, CA 92064-5950
(858) 231-3151

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001226
CA

Other

Enumeration date
04/04/2020
Last updated
11/27/2023
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