PHUNG NGOC PHAN

ANAHEIM, CA
NPI1487152534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  NP95017548)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95044332)
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95044332)
Enumeration Date2018-01-24
Last Update Date2021-09-10
Business Address
PHUNG NGOC PHAN
1596 W MINERVA AVE
ANAHEIM, CA 92802-1624
Phone number: 714-675-5925
Mailing Address
PHUNG NGOC PHAN
1596 W MINERVA AVE
ANAHEIM, CA 92802-1624
Phone number: