Individual
KIEU THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
21200 S LA GRANGE RD STE 322, FRANKFORT, IL 60423-2003
(815) 933-3955
(815) 464-2614
Mailing address
21200 S LA GRANGE RD, FRANKFORT, IL 60423-2003
(815) 933-3955
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
09-255
CO
Other
Enumeration date
11/19/2012
Last updated
04/24/2013
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