Individual
SHEENA VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 N 2ND ST, BOONEVILLE, MS 38829-1028
(662) 728-2071
(662) 728-2077
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30434
MS
Other
Enumeration date
03/24/2021
Last updated
06/27/2024
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