LONG THANH TRAN

BANNING, CA
NPI1144403676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 19489)
Enumeration Date2007-12-06
Last Update Date2018-07-27
Business Address
LONG THANH TRAN PA-C
330 W RAMSEY ST
BANNING, CA 92220
Phone number: 951-849-1950
Mailing Address
LONG THANH TRAN PA-C
330 W RAMSEY ST
BANNING, CA 92220-4823
Phone number: 951-849-1950