VIVIAN THANH PHAM

FONTANA, CA
NPI1538860754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95024496)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
VIVIAN THANH PHAM FNP
17847 VALENCIA AVE
FONTANA, CA 92335-4030
Phone number: 626-905-3220
Mailing Address
VIVIAN THANH PHAM FNP
17847 VALENCIA AVE
FONTANA, CA 92335-4030
Phone number: 626-905-3220