Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 29995 | CA |
NPI | 1598868408 |
---|---|
Provider Name | Dr. Hoa Xuan Truong X |
First Address | Fremont, CA 94555-1213 |
Second Address | Hayward, CA 94541-5102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |