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Alisa Pham
Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania
NPI 1619555190

Alisa Pham is a Student in an Organized Health Care Education/Training Program based in Gilmer, PA. Alisa Pham practices in Scranton, PA. The NPI Number for Alisa Pham is 1619555190 and holds a License No. (Pennsylvania).

The current practice location address for Alisa Pham is 501 S Washington Ave, Scranton, PA and can be reached out via phone at 570-343-2383.

Location: 501 S Washington Ave, Scranton, PA, 75645-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619555190
Provider Name
Alisa Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 S Washington Ave, Scranton, PA, 75645-2803
Phone Number
570-343-2383
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 S Washington Ave
City
Scranton
State
Pennsylvania
Zip
18505-3814
Phone Number
570-343-2383
Fax Number
person
Provider Business Mailing Address Details
Address
501 S Washington Ave
City
Scranton
State
Pennsylvania
Zip
18505-3814
Phone Number
570-343-2383
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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