Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3827 | MN |
NPI | 1003112020 |
---|---|
Provider Name | Dr. Tientrien Trinh |
First Address | Bloomington, MN 55425-2373 |
Second Address | Bloomington, MN 55425-2373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2011 |
Last Update Date | 09/02/2011 |