Individual
DIANA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1420 N TRACY BLVD, TRACY, CA 95376-3451
(209) 832-6018
Mailing address
1420 N TRACY BLVD, TRACY, CA 95376-3451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
62327
CA
Other
Enumeration date
03/29/2023
Last updated
06/27/2023
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