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Jennie Pham
Student in an Organized Health Care Education/Training Program in Winslow, Arizona
NPI 1679325161

Jennie Pham is a Student in an Organized Health Care Education/Training Program based in Mesa, AZ. Jennie Pham practices in Winslow, AZ. The NPI Number for Jennie Pham is 1679325161 and holds a License No. (Arizona).

The current practice location address for Jennie Pham is 500 Indiana Ave, Winslow, AZ and can be reached out via phone at 928-289-4646.

Location: 500 Indiana Ave, Winslow, AZ, 85206-5532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679325161
Provider Name
Jennie Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Indiana Ave, Winslow, AZ, 85206-5532
Phone Number
928-289-4646
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-4646
Fax Number
person
Provider Business Mailing Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-4646
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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