Individual
JADE TIEU NGOC TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8442 STANFORD AVE, GARDEN GROVE, CA 92841-4432
(714) 718-0323
Mailing address
8442 STANFORD AVE, GARDEN GROVE, CA 92841-4432
(714) 718-0323
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN256119
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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