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Organization
VIDA VIBRANTE TRANSITIONAL CARE GROUP INC
Active
Organization
VIDA VIBRANTE TRANSITIONAL CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN MIN HLAING M.D (PRESIDENT)
(209) 662-3856
Entity
Organization
Contact information
Practice address
2036 SNOWBIRD DR, LODI, CA 95242-4754
(209) 662-3856
Mailing address
2036 SNOWBIRD DR, LODI, CA 95242-4754
(209) 662-3856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A104774
CA
Other
Enumeration date
08/05/2015
Last updated
09/02/2015
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