Individual
JAN VAN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1720A MEDICAL PARK DR, 160B, BILOXI, MS 39532-2129
(228) 206-5389
Mailing address
1547 PELICAN BAYOU DR, BILOXI, MS 39532-8082
(228) 238-9158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1171
MS
111NR0400X
Rehabilitation Chiropractor
1711
MS
Other
Enumeration date
11/30/2010
Last updated
03/03/2016
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