THANH TRUNG PHAM

SAN BERNARDINO, CA
NPI1285247049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA59381)
Enumeration Date2020-08-30
Last Update Date2022-08-16
Business Address
THANH TRUNG PHAM
590 N SIERRA WAY
SAN BERNARDINO, CA 92410-4817
Phone number: 909-495-3595
Mailing Address
THANH TRUNG PHAM
590 N SIERRA WAY
SAN BERNARDINO, CA 92410-4817
Phone number: 909-495-3595
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