Individual
CHARLENE TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 90TH ST, DALY CITY, CA 94015-1807
(650) 301-8600
Mailing address
380 90TH ST, DALY CITY, CA 94015-1807
(650) 301-8600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21005
CA
Other
Enumeration date
01/31/2012
Last updated
06/10/2015
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