Individual provider · Type 1 NPI

Long-Quan Duc Pham

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1134824717 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Call (540) 981-7000 Map

Mailing address

1128 Brattleboro Arch
Virginia Beach, VA 23464-5833

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1134824717

Long-Quan Duc Pham's National Provider Identifier is 1134824717, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Apr 3, 2023.