LILIE MYTRANG PHAM

SANTA CRUZ, CA
NPI1144504317
Former NameMYTRANG THI NGUYEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008298)
Enumeration Date2011-10-05
Last Update Date2024-07-30
Business Address
LILIE MYTRANG PHAM DNP, FNP-c
115A CORAL ST
SANTA CRUZ, CA 95060-2131
Phone number: 831-454-2080
Mailing Address
LILIE MYTRANG PHAM DNP, FNP-c
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 402-201-5146
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