PHUNG PHAN

SAN MATEO, CA
NPI1770916413
Other NameMARIE PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-08-16
Last Update Date2015-08-04
Business Address
-- PHUNG PHAN
2600 S EL CAMINO REAL
SAN MATEO, CA 94403-2380
Phone number: 408-347-3120
Mailing Address
-- PHUNG PHAN
3009 WALL ST
SAN JOSE, CA 95111-4601
Phone number: 650-578-8691
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