Sandy Phuong Phan

NPI #1558027847 in Trabuco Canyon, California

Provider Information

NPI Number
1558027847
Entity Type
Individual
Name
Sandy Phuong Phan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician
Enumeration Date
Nov 11, 2021
Last Updated
Nov 11, 2021

Practice Location

Address
20342 FLANAGAN ROAD
ZIP Code
92679
Phone
(818) 582-8832

Specialties & Taxonomy Codes

Specialty
Technician

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