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Individual
MR. TAI TIEN TRAN
Active
Individual
MR. TAI TIEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19528
CA
Other
Enumeration date
01/29/2008
Last updated
11/11/2021
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