Individual
QUYNH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 NW 9TH AVE STE 1202, MIAMI, FL 33136-1409
(786) 975-1765
(305) 355-8059
Mailing address
1695 NW 9TH AVE STE 1202, MIAMI, FL 33136-1409
(786) 975-1765
(305) 355-8059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8834
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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