Individual provider · Type 1 NPI

Christine Jia En Phang

Student in an Organized Health Care Education/Training Program · Petaluma, CA

NPI number 1659959898 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Call (707) 765-8488 Map

Mailing address

1050 Court St Apt 306
San Rafael, CA 94901-2972

Other practice locations

  • 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 · (415) 459-5999

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 1659959898

Christine Jia En Phang's National Provider Identifier is 1659959898, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petaluma, CA. The record was last updated on Feb 9, 2022.