Individual
GIA-BAO NGOC TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
13104 E MAINSGATE CIR, WICHITA, KS 67228-8018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107188
KS
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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