Organization
VIDA VIBRANTE TRANSITIONAL CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN MIN HLAING M.D (PRESIDENT)
(209) 662-3856
Entity
Organization
Contact information
Practice address
2036 SNOWBIRD DR, LODI, CA 95242-4754
(209) 662-3856
Mailing address
2036 SNOWBIRD DR, LODI, CA 95242-4754
(209) 662-3856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A104774
CA
Other
Enumeration date
08/05/2015
Last updated
09/02/2015
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