Individual
KELLY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 ATLANTIC AVE, LONG BEACH, CA 90807-4515
(562) 997-8743
Mailing address
3575 ATLANTIC AVE, LONG BEACH, CA 90807-4515
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
58205
CA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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