Phung Mar, PAC Valid NPI

Individual provider · Physician Assistant · Mountain View, CA

NPI

1518198936

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA20420 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2009-08-03

Last updated

2020-05-25