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Individual
JESSICA SUHUI TAN
Active
Individual
JESSICA SUHUI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A115558
CA
207R00000X
Internal Medicine Physician
16139
HI
207R00000X
Internal Medicine Physician
35096723
OH
207R00000X
Internal Medicine Physician
A115558
CA
390200000X
Student in an Organized Health Care Education/Training Program
57-014949
OH
Other
Enumeration date
09/24/2008
Last updated
01/24/2022
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