Individual
TIFFANY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5771 GREENBACK LN, SACRAMENTO, CA 95841-2013
(916) 453-5450
Mailing address
840 S FAIRMONT AVE, LODI, CA 95240-5105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
849711
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000028
CA
Other
Enumeration date
09/06/2013
Last updated
04/08/2024
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