LONG-QUAN DUC PHAM

ROANOKE, VA
NPI1134824717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
LONG-QUAN DUC PHAM
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
Mailing Address
LONG-QUAN DUC PHAM
1128 BRATTLEBORO ARCH
VIRGINIA BEACH, VA 23464-5833
Phone number: