Individual
THO NGOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17155 NEWHOPE ST STE P, FOUNTAIN VALLEY, CA 92708-4233
(714) 757-0468
Mailing address
17155 NEWHOPE ST STE P, FOUNTAIN VALLEY, CA 92708-4233
(714) 757-0468
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
767734
CA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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