TAVA TINA PHAM

LAKEWOOD, NJ
NPI1568211712
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
TAVA TINA PHAM
705 CROSS ST
LAKEWOOD, NJ 08701-4029
Phone number: 212-481-4040
Mailing Address
TAVA TINA PHAM
1231 S 9TH ST
SOUTH PLAINFIELD, NJ 07080-1603
Phone number: 908-397-5550