Long Pham
NPI #1962986042 in Eastvale, California
Provider Information
- NPI Number
- 1962986042
- Entity Type
- Individual
- Name
- Long Pham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- Sep 24, 2018
- Last Updated
- Sep 24, 2018
Practice Location
- Address
- 7175 ENCLAVE DR
- City
- Eastvale
- State
- California
- ZIP Code
- 92880-3828
- Phone
- (318) 791-9853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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