TIN VUONG

BOISE, ID
NPI1417223892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine Sports Medicine
(Licence: ID  O-1471)
Enumeration Date2012-03-29
Last Update Date2021-09-16
Business Address
TIN VUONG
703 S AMERICANA BLVD STE 120
BOISE, ID 83702-6754
Phone number: 208-706-9340
Mailing Address
TIN VUONG
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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