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Individual
MRS. TIEN THUY PHAN TRUONG
Active
Individual
MRS. TIEN THUY PHAN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64304
CA
Other
Enumeration date
04/01/2024
Last updated
07/20/2026
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