Individual
PHET TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5562 PHILADELPHIA ST STE 301, CHINO, CA 91710-2499
(214) 868-4371
Mailing address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95027932
CA
363LG0600X
Gerontology Nurse Practitioner
95027932
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95027932
CA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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