Individual
BRYAN TUAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 DIAMOND DRIVE, LAKE ELSINORE, CA 92530
(951) 674-3562
Mailing address
1 VIA NICCOLO CT, LAKE ELSINORE, CA 92532-0147
(951) 674-4919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54771
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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