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Individual
SERENA T TAN
Active
Individual
SERENA T TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A75455
CA
Other
Enumeration date
09/07/2006
Last updated
03/06/2009
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