Most Relevant Information
Provider Data
| NPI Number: | 1003510728 |
| Provider Name: | BAO CHAU TRUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2023 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
1020 S MAIN ST STE 110B
SALT LAKE CITY
UT
841013176
Practice Location Phone/Fax
| Phone: | 8015366570 |
| Fax: |
Provider Mailing Location
4460 S HIGHLAND DR STE 120
SALT LAKE CITY
UT
841243550
Provider Mailing Phone/Fax
| Phone: | 8889494864 |
| Fax: |