LUONG PHAN

CHARLOTTE, NC
NPI1144971847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
LUONG PHAN
14848 HAVASU ST
CHARLOTTE, NC 28273-7130
Phone number: 704-564-7507
Mailing Address
LUONG PHAN
14848 HAVASU ST
CHARLOTTE, NC 28273-7130
Phone number: 704-564-7507
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