Individual
KHOA TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 JOHANSEN EXPY, FAIRBANKS, AK 99701-3165
(678) 462-1878
Mailing address
537 JOHANSEN EXPY, FAIRBANKS, AK 99701-3165
(678) 462-1878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
104199
AK
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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