JACQUELINE PHAM

MISSION VIEJO, CA
NPI1114534542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95011232)
Enumeration Date2020-09-29
Last Update Date2021-06-04
Business Address
JACQUELINE PHAM
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692-2901
Phone number: 949-581-9120
Mailing Address
JACQUELINE PHAM
14 LUCERO W
IRVINE, CA 92620-1921
Phone number: 626-991-7986
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