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Jacqueline Pham
Family Nurse Practitioner in Mission Viejo, California
NPI 1114534542

Jacqueline Pham is a Family Nurse Practitioner based in Irvine, CA and is specialized in Family. Jacqueline Pham practices in Mission Viejo, CA. The NPI Number for Jacqueline Pham is 1114534542 and holds a License No. 95011232 (California).

The current practice location address for Jacqueline Pham is 25272 Marguerite Pkwy, Mission Viejo, CA and can be reached out via phone at 949-581-9120.

Location: 25272 Marguerite Pkwy, Mission Viejo, CA, 92620-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114534542
Provider Name
Jacqueline Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
25272 Marguerite Pkwy, Mission Viejo, CA, 92620-1921
Phone Number
949-581-9120
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25272 Marguerite Pkwy
City
Mission Viejo
State
California
Zip
92692-2901
Phone Number
949-581-9120
Fax Number
person
Provider Business Mailing Address Details
Address
25272 Marguerite Pkwy
City
Mission Viejo
State
California
Zip
92692-2901
Phone Number
949-581-9120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95011232 (California)
Definition
Definition to come...
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