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Christine Jia En Phang
Student in an Organized Health Care Education/Training Program in Petaluma, California
NPI 1659959898

Christine Jia En Phang is a Student in an Organized Health Care Education/Training Program based in San Rafael, CA. Christine Jia En Phang practices in Petaluma, CA. The NPI Number for Christine Jia En Phang is 1659959898 and holds a License No. (California).

The current practice location address for Christine Jia En Phang is 1500 Petaluma Blvd S, Petaluma, CA and can be reached out via phone at 707-765-8488.

Location: 1500 Petaluma Blvd S, Petaluma, CA, 94901-2972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659959898
Provider Name
Christine Jia En Phang
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 Petaluma Blvd S, Petaluma, CA, 94901-2972
Phone Number
707-765-8488
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Petaluma Blvd S
City
Petaluma
State
California
Zip
94952-5545
Phone Number
707-765-8488
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Petaluma Blvd S
City
Petaluma
State
California
Zip
94952-5545
Phone Number
707-765-8488
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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