Individual
JACKIE C. TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14120 BEACH BLVD, WESTMINSTER, CA 92683-4454
(714) 896-7390
Mailing address
13592 SISKIYOU ST, WESTMINSTER, CA 92683-2552
(714) 876-5491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
457940
CA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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