Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 29556 | CA |
NPI | 1003965559 |
---|---|
Provider Name | Dr. Dao C Truong |
First Address | Petaluma, CA 94954-1112 |
Second Address | Petaluma, CA 94954-1112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |