Individual
THAO NGOC PHUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4485 THISTLE DR, SAN JOSE, CA 95136-2051
(408) 620-2320
Mailing address
4485 THISTLE DR, SAN JOSE, CA 95136-2051
(408) 620-2320
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95023688
CA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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