THAO TRUONG

Specialist

Active Individual
NPI: 1922380518

Practice Address

1321 I ST STE #3
Modesto, CA 95354

Phone: (209) 558-8467

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1922380518 is the National Provider Identifier for THAO TRUONG, a Specialist provider located in Modesto, CA. This NPI was enumerated on September 9, 2011.
THAO TRUONG practices at 1321 I ST STE #3, Modesto, CA 95354.

Quick Facts

NPI
1922380518
Type
Individual
Enumerated
Sep 9, 2011
Last Updated
Sep 9, 2011