Provider Demographics
NPI:1235394131
Name:TRAN, NGOC
Entity type:Individual
Prefix:DR
First Name:NGOC
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:N
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3731 BRANCH AVE
Mailing Address - Street 2:B312
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1404
Mailing Address - Country:US
Mailing Address - Phone:301-899-0915
Mailing Address - Fax:
Practice Address - Street 1:3731 BRANCH AVE
Practice Address - Street 2:B312
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1404
Practice Address - Country:US
Practice Address - Phone:301-899-0915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor