PHONG LAM

SAN JOSE, CA
NPI1770034696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-14
Last Update Date2016-10-14
Business Address
-- PHONG LAM
1340 TULLY RD STE 304
SAN JOSE, CA 95122-3055
Phone number: 408-271-3900
Mailing Address
-- PHONG LAM
1764 ARROYO DE ORO
SAN JOSE, CA 95116-1349
Phone number:
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