Individual
TUYET NHUNG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-0103
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-0103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
Primary
42646
CA
Other
Enumeration date
01/05/2022
Last updated
01/04/2024
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