Individual
AN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS D
Contact information
Practice address
3855 CYPRESS DR, SUITE A, PETALUMA, CA 94954-5600
(707) 766-4096
(866) 223-6598
Mailing address
1016 S MCDOWELL BLVD, PETALUMA, CA 94954-5434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069902625
CA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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