LYSIANNE PHAM DUBE

MANSFIELD, TX
NPI1699263269
Former NameMARY-LYSIANNE VAN PHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95008968)
Enumeration Date2018-04-28
Last Update Date2024-01-30
Business Address
Ms. LYSIANNE PHAM DUBE FNP-C
2201 HERITAGE PKWY STE 111
MANSFIELD, TX 76063-5628
Phone number: 817-472-7700
Mailing Address
Ms. LYSIANNE PHAM DUBE FNP-C
1305 BLANCO TRL
MANSFIELD, TX 76063-1856
Phone number: 858-225-9525
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