Provider Demographics
NPI:1770719494
Name:JENNY TRAN ENTERPRISES, INC
Entity type:Organization
Organization Name:JENNY TRAN ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-275-3675
Mailing Address - Street 1:1017 MCCLELLAND CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-1514
Mailing Address - Country:US
Mailing Address - Phone:877-810-3237
Mailing Address - Fax:704-632-1661
Practice Address - Street 1:1017 MCCLELLAND CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-1514
Practice Address - Country:US
Practice Address - Phone:877-810-3237
Practice Address - Fax:704-632-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies