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Individual

MRS. BAOTRAN TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8202 WASHINGTON ST, PORT RICHEY, FL 34668-6695
(727) 819-1610
Mailing address
8202 WASHINGTON ST, PORT RICHEY, FL 34668-6695
(727) 819-1610

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11004011
FL
363LF0000X
Family Nurse Practitioner
209012082
IL

Other

Enumeration date
11/04/2014
Last updated
05/09/2022
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