Individual
KIEU TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3312 GLENBROOK LOOP, SPRINGDALE, AR 72764-7862
(479) 973-4626
Mailing address
3312 GLENBROOK LOOP, SPRINGDALE, AR 72764-7862
(479) 973-4626
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17440000
AR
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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