Individual
LONG DANG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5420 W SAHARA AVE, SUITE 102.7, LAS VEGAS, NV 89146-0394
(702) 716-5323
Mailing address
5420 W SAHARA AVE, SUITE 102.7, LAS VEGAS, NV 89146-0394
(702) 716-5323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20161186675
—
NV
Enumeration date
09/30/2016
Last updated
09/30/2016
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