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Individual

TIFFANI LINH TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, MBA, CRNA

Contact information

Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 823-3111
Mailing address
4030 E MORADA LN APT 2101, STOCKTON, CA 95212-1638

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95191799
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002175
CA

Other

Enumeration date
07/21/2023
Last updated
09/10/2023
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