Individual
NGOC TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 5TH ST SE STE 200, PUYALLUP, WA 98372-4683
(805) 665-8193
Mailing address
31636 4TH AVE S, FEDERAL WAY, WA 98003-5234
(805) 665-8193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61488758
WA
Other
Enumeration date
10/29/2016
Last updated
11/06/2023
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