TIN TRUNG PHAM

VALLEJO, CA
NPI1649511106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  39192)
Enumeration Date2013-03-08
Last Update Date2022-01-03
Business Address
TIN TRUNG PHAM PT
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 408-644-6454
Mailing Address
TIN TRUNG PHAM PT
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 408-644-6454
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