Most Relevant Information
Provider Data
| NPI Number: | 1003237835 |
| Provider Name: | JENNIFER H TRUONG ABOC |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 183247 |
Most Important Dates
| Enumeration Date: | 12/20/2013 |
| Last Updated: | 12/20/2013 |
Provider Practice Location
11421 CARSON ST STE D
LAKEWOOD
CA
907152500
Practice Location Phone/Fax
| Phone: | 5628604590 |
| Fax: |
Provider Mailing Location
11421 CARSON ST STE D
LAKEWOOD
CA
907152500
Provider Mailing Phone/Fax
| Phone: | 5628604590 |
| Fax: |