Most Relevant Information
Provider Data
NPI Number: | 1003564915 |
Provider Name: | THAO-VY THI TRAN |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 03/10/2022 |
Last Updated: | 03/10/2022 |
Provider Practice Location
1310 CLUB DR
VALLEJO
CA
945921187
Practice Location Phone/Fax
Phone: | 7076385200 |
Fax: |
Provider Mailing Location
1310 CLUB DR
VALLEJO
CA
945921187
Provider Mailing Phone/Fax
Phone: | 7076385200 |
Fax: |