THAO PHAM

QUEENS VILLAGE, NY
NPI1104193226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  643221)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- THAO PHAM
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
Mailing Address
-- THAO PHAM
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923