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Individual

TAM T TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
696 E SANTA CLARA ST STE 104, SAN JOSE, CA 95112-1911
(408) 993-0382
(408) 995-6470
Mailing address
PO BOX 612103, SAN JOSE, CA 95161-2103
(408) 993-0382
(408) 995-6470

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/21/2006
Last updated
07/09/2007
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