Individual
KENNETH T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
1325 N ANAHEIM BLVD, ANAHEIM, CA 92801-1202
(657) 242-4381
Mailing address
1325 N ANAHEIM BLVD STE 100, ANAHEIM, CA 92801-1202
(657) 242-4381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86303064
CA
Other
Enumeration date
02/05/2024
Last updated
06/24/2024
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