Individual
THUY ANH THI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 FAIRVIEW AVE S, SAINT PAUL, MN 55105-1463
(651) 699-6008
Mailing address
30 FAIRVIEW AVE S, SAINT PAUL, MN 55105-1463
(651) 699-6008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124449
MN
183500000X
Pharmacist
200062-40
WI
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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