Individual
HOA TAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461-2200
(757) 862-0060
Mailing address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461-2200
(757) 862-0060
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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