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Namphuong Hoang Pham

Specialist in Mountain View, AR. Individual provider (NPI-1).

NPI number1154635472
StatusActive
Last updated in NPPESJul 28, 2010

Details

NPI
1154635472
Entity type
Individual (NPI-1)
Name
Namphuong Hoang Pham
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 28, 2010
Last updated
Jul 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistPTA 2438ARYes

Practice location

1005 Maple Dr
Mountain View, AR 72560-8999

Phone 870-269-2110

Mailing address

12262 Tams Dr
Baton Rouge, LA 70815-2655

Phone 225-272-3637

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