Provider Demographics
NPI:1932527215
Name:TRAN, DAO BIC
Entity Type:Individual
Prefix:
First Name:DAO
Middle Name:BIC
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 S 7TH AVE APT 80
Mailing Address - Street 2:
Mailing Address - City:AVENAL
Mailing Address - State:CA
Mailing Address - Zip Code:93204-1762
Mailing Address - Country:US
Mailing Address - Phone:559-386-9122
Mailing Address - Fax:
Practice Address - Street 1:1068 S 7TH AVE APT 80
Practice Address - Street 2:
Practice Address - City:AVENAL
Practice Address - State:CA
Practice Address - Zip Code:93204-1762
Practice Address - Country:US
Practice Address - Phone:559-386-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist