Thao Phuong Tran O.D.

NPI 1962581421 - Optometrist - 152WL0500X

NPI Details
NPI 1962581421
Gender Female
Enumeration Date 11/03/2006
Last Updated 06/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
684 N 1ST ST
SAN JOSE CA, 95112-5109, US
Phone (408) 292-2299
Fax
Business Location
684 N 1ST ST
SAN JOSE CA, 95112-5109, US
Phone (408) 292-2299
Fax
Toxanomy
Taxonomy Code 152WL0500X
License State California
License Number 12867
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According to our database, Thao Phuong Tran O.D. NPI is 1962581421, taxonomy code is 152WL0500X and license number is 12867, license state is located at California. Thao Phuong Tran O.D. physically located at 684 N 1st St, San Jose CA, 95112-5109. NPI Number Thao Phuong Tran O.D. has the Individual type.

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1962581421 NPI number is provided on an as is basis without warranty of any kind. 1962581421 is maintained by the National Plan & Provider Enumeration System. The contents of Thao Phuong Tran O.D. are for informational purposes only.