TIEN VANG PHAN

SAN DIEGO, CA
NPI1497097950
Other NameTIEN PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY32425)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2013-03-22
Last Update Date2024-12-03
Business Address
Miss TIEN VANG PHAN MA
7228 HYATT ST
SAN DIEGO, CA 92111-6102
Phone number: 858-330-4304
Mailing Address
Miss TIEN VANG PHAN MA
5663 BALBOA AVE STE 380
SAN DIEGO, CA 92111-2705
Phone number: