Individual
THANH TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12965 N 75TH DR, PEORIA, AZ 85381-9078
(602) 396-9729
Mailing address
12965 N 75TH DR, PEORIA, AZ 85381-9078
(602) 396-9729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN167322
AZ
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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