LIZA MARIE PATAWARAN PHAM

MODESTO, CA
NPI1831395102
Other NameLIZA MARIE PATAWARAN YLESCUPIDEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A100406)
Enumeration Date2007-06-25
Last Update Date2022-01-11
Business Address
-- LIZA MARIE PATAWARAN PHAM MD
1114 6TH ST
MODESTO, CA 95354-2203
Phone number: 209-576-2845
Mailing Address
-- LIZA MARIE PATAWARAN PHAM MD
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848
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