person
Diep Phan
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1548741176

Diep Phan is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Diep Phan practices in Stockton, CA. The NPI Number for Diep Phan is 1548741176 and holds a License No. 41006 (California).

The current practice location address for Diep Phan is 7720 Lorraine Ave Ste 102, Stockton, CA and can be reached out via phone at 209-957-8787.

Location: 7720 Lorraine Ave Ste 102, Stockton, CA, 95829-6094
person
Provider Profile Details
NPI Number
1548741176
Provider Name
Diep Phan
Credential
Provider Entity Type
Individual
Gender
Female
Address
7720 Lorraine Ave Ste 102, Stockton, CA, 95829-6094
Phone Number
209-957-8787
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7720 Lorraine Ave Ste 102
City
State
Zip
95210-4203
Phone Number
209-957-8787
Fax Number
person
Provider Business Mailing Address Details
Address
7720 Lorraine Ave Ste 102
City
State
Zip
95210-4203
Phone Number
209-957-8787
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
41006 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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