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Kim Trandang

NPI Registration Record

Provider / OrganizationNPIDate Certified
KIM TRANDANG13963492542020-11-22
Entity TypeIndividual
Provider Name Kim Trandang
Practice Office Address4855 KIETZKE LN
RENO, NV US
Practice Office Telephone7758291995
Practice Office Fax7758292942
Mailing Address360 JACKSON SPRINGS DR
RENO, NV 895236863 US
Business Telephone7756365077
HPT Codes
CodeLicense NoState
183500000X PRIMARY16589 NV
OPI Codes

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