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Individual
MARIA ROSALIE SIMON TANG
Active
Individual
MARIA ROSALIE SIMON TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15119
CA
364SP0200X
Pediatric Clinical Nurse Specialist
2090
CA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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