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Jacqueline Khanhlinh Pham
Student in an Organized Health Care Education/Training Program in Fountain Valley, California
NPI 1952913410

Jacqueline Khanhlinh Pham is a Student in an Organized Health Care Education/Training Program based in Fountain Valley, CA. Jacqueline Khanhlinh Pham practices in Fountain Valley, CA. The NPI Number for Jacqueline Khanhlinh Pham is 1952913410 and holds a License No. (California).

The current practice location address for Jacqueline Khanhlinh Pham is 10474 La Sombra Ave, Fountain Valley, CA and can be reached out via phone at 714-906-9915.

Location: 10474 La Sombra Ave, Fountain Valley, CA, 92708-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952913410
Provider Name
Jacqueline Khanhlinh Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
10474 La Sombra Ave, Fountain Valley, CA, 92708-5211
Phone Number
714-906-9915
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10474 La Sombra Ave
City
Fountain Valley
State
California
Zip
92708-5211
Phone Number
714-906-9915
Fax Number
person
Provider Business Mailing Address Details
Address
10474 La Sombra Ave
City
Fountain Valley
State
California
Zip
92708-5211
Phone Number
714-906-9915
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.
(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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