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AI-VI IVY TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 792-6680
Mailing address
315 MARTIN LUTHER KING JR. WAY MAILSTOP 315-5C-TFM, TACOMA, WA 98405

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/01/2021
Last updated
04/29/2023
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