Individual
JADE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-2263
(505) 262-1745
Mailing address
2645 SIERRA DR NE, ALBUQUERQUE, NM 87110-2923
(505) 814-3541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010182
NM
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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