BENJAMIN TRAN

POMONA, CA
NPI1083980601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: CA  CPO03462)
Additional Taxonomies222Z00000X 
(Licence: CA  CPO03462)
Enumeration Date2012-03-28
Last Update Date2016-04-21
Business Address
-- BENJAMIN TRAN C.O.
320 E BONITA AVE
POMONA, CA 91767-1926
Phone number: 909-621-1180
Mailing Address
-- BENJAMIN TRAN C.O.
320 E BONITA AVE
POMONA, CA 91767-1926
Phone number: