Most Relevant Information
Provider Data
| NPI Number: | 1003038845 |
| Provider Name: | KHIEM THIEN TRANG |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2342 119TH AVE NE
BLAINE
MN
554495412
Practice Location Phone/Fax
| Phone: | 7637672311 |
| Fax: |
Provider Mailing Location
2342 119TH AVE NE
BLAINE
MN
554495412
Provider Mailing Phone/Fax
| Phone: | 7637672311 |
| Fax: |