Individual
ALEXANDER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 PARKMOOR AVE STE 208, SAN JOSE, CA 95126-3407
(408) 885-0805
Mailing address
1724 SINCLAIR CIR, PLACENTIA, CA 92870-2716
(714) 657-5009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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