Individual
MARVIN P PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 GUNNERS CT, LINCOLN, NE 68522-2422
(402) 937-6096
Mailing address
910 GUNNERS CT, LINCOLN, NE 68522-2422
(402) 937-6096
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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