Individual
DR. DANIEL TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8915 N ALLEN RD, PEORIA, IL 61615-1534
(309) 693-9873
Mailing address
3910 N SHERWOOD AVE, PEORIA, IL 61614-6929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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