Individual
MS. VICTORIA THUY-VIET PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS , MT , ASCP , NCA
Contact information
Practice address
109 WRENN DR APT A, CARY, NC 27511-5316
(919) 608-4725
Mailing address
109 WRENN DR APT A, CARY, NC 27511-5316
(919) 608-4725
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
04125692
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04125692
ASCP
NC
Enumeration date
12/07/2009
Last updated
12/07/2009
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