Individual
MISS TINA THANH THUY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19101 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64055-6904
(816) 254-9292
Mailing address
5100 GRAND AVE, KANSAS CITY, MO 64112-2739
(316) 992-3487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2021028686
MO
Other
Enumeration date
01/27/2020
Last updated
08/13/2021
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