Individual
JASON TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
659 PRADA DR, MILPITAS, CA 95035-4026
(831) 601-0368
Mailing address
659 PRADA DR, MILPITAS, CA 95035-4026
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
713856
CA
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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