Provider Demographics
NPI:1093555955
Name:TRAN, DUNG THI MY
Entity type:Individual
Prefix:
First Name:DUNG
Middle Name:THI MY
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1640
Mailing Address - Country:US
Mailing Address - Phone:703-743-4878
Mailing Address - Fax:
Practice Address - Street 1:2941 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1640
Practice Address - Country:US
Practice Address - Phone:703-743-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist