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Individual

JULIE TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 LAKE AVE, PIEDMONT, CA 94611-4339
(510) 978-2627
Mailing address
111 LAKE AVE, PIEDMONT, CA 94611-4339

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA11154
CA

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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