Long-Quan Duc Pham
Long-Quan Duc Pham is a Student in an Organized Health Care Education/Training Program in Roanoke, Virginia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1906 Belleview Ave SERoanoke, VA 24014-1838
Phone: (540) 981-7000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1134824717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2023 |
| Last updated in NPPES | April 3, 2023 |
| Certification date | April 3, 2023 |
| Mailing address | 1128 Brattleboro Arch, Virginia Beach, VA 23464-5833 |
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