Individual
JACQUELINE V TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 L ST STE 500, SACRAMENTO, CA 95816-5616
(916) 454-6850
(916) 454-6852
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
33283
WA
2084N0400X
Neurology Physician
Primary
G88236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101211
—
WA
Enumeration date
06/09/2005
Last updated
12/18/2017
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