Individual
DAI TRANG TUNGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8170 LAGUNA BLVD, #105, ELK GROVE, CA 95758-7901
(916) 691-5945
(916) 691-5946
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E40840
—
CA
Enumeration date
09/21/2006
Last updated
10/18/2021
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