Individual
BEN VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 WOOL CREEK DR, SUITE 97, SAN JOSE, CA 95112-2617
(408) 283-6151
Mailing address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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