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Vivian Thanh Pham, FNP
Family Nurse Practitioner in Fontana, California
NPI 1538860754

Vivian Thanh Pham is a Family Nurse Practitioner based in Fontana, CA and is specialized in Family. Vivian Thanh Pham practices in Fontana, CA and has the professional credentials of FNP. The NPI Number for Vivian Thanh Pham is 1538860754 and holds a License No. 95024496 (California).

The current practice location address for Vivian Thanh Pham is 17847 Valencia Ave, Fontana, CA and can be reached out via phone at 626-905-3220.

Location: 17847 Valencia Ave, Fontana, CA, 92335-4030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538860754
Provider Name
Vivian Thanh Pham
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
17847 Valencia Ave, Fontana, CA, 92335-4030
Phone Number
626-905-3220
Fax Number
Provider Enumeration Date
03/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17847 Valencia Ave
City
Fontana
State
California
Zip
92335-4030
Phone Number
626-905-3220
Fax Number
person
Provider Business Mailing Address Details
Address
17847 Valencia Ave
City
Fontana
State
California
Zip
92335-4030
Phone Number
626-905-3220
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95024496 (California)
Definition
Definition to come...
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