LUONG PHAN

UTICA, NY
NPI1144971847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-01-13
Last Update Date2025-07-02
Business Address
LUONG PHAN DPM
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149
Mailing Address
LUONG PHAN DPM
111 HOSPITAL DR
UTICA, NY 13502-2517
Phone number: 315-801-8534
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