# ZINNIA TAN SAN JUAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669683926
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 9500742-1205 | UT | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD60837291 | WA | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 12/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2103643 | — | WA |